THE PERIAREOLAR INCISION: A VERSATILE APPROACH FOR PALPABLE BENIGN BREAST MASSES | ||
| The Egyptian Journal of Surgery | ||
| Article 2, Volume 30, Issue 1, January 2011, Pages 6-13 PDF (3.09 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2011.367529 | ||
| Authors | ||
| Samia Saied1; Amr Sabet* 2; Asem Hassan3 | ||
| 1Department of Plastic & Reconstructive Surgery, Faculty of Medicine, Sohag University | ||
| 2Department of Surgery, Kasr El Aini Faculty of Medicine, Cairo University | ||
| 3Department of Surgery, Faculty of Medicine, Sohag University, Egypt | ||
| Abstract | ||
| Introduction: This study assessed the periareolar incision as a versatile approach for the removal of palpable benign breast masses and measured objectively its aesthetic outcome. Methods: This prospective study included 44 adult patients with clinically and radiologically suspected palpable benign breast masses which were excised through the periareolar incision. It was done at the Plastic and General Surgery Departments, kasr El Eini University Hospital, Cairo University and Sohag University Hospital, Sohag University in the period from February 2006 to May 2009. The diagnostic work-up included clinical examination, breast ultrasonography and/or mammography. The postoperative complications and the aesthetic outcome were recorded. Results: Forty women (91%) and 4 men (9%) with average age 31.5 (range, 16-47) years were enrolled. The histopathological diagnosis was 24 fibroadenomata (54.5%), 7 duct ectasia (15.9%), 5 chronic breast abscess (11.3%), 4 asymmetric fibroadenosis (9%), 4 gynaecomastia (9%). Seven cases were bilateral and 4 were multiple. The cosmetic outcome was excellent in 42 cases (95.5%) and fair in 2 cases (4.5%). Conclusion: The periareolar incision is a versatile approach for excision of benign breast masses. Its use can improve the aesthetic outcome of breast surgery as the resulting scar is virtually invisible. | ||
| Keywords | ||
| Circumareolar approach; Aesthetic outcome; Lumps | ||
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