CENTRAL SMALL-SIZE BREAST-CANCER - HOW TO OVERCOME THE PROBLEM OF NIPPLE AND AREOLA INVOLVEMENT

For centrally located small tumours we have sought, with the aid of a plastic surgeon, to achieve the same radicality as in the other quadra nts, while achieving a good cosmetic result. We considered 37 patients with small centrally located breast carcinoma, in whom we performed a new surgical technique. From analysis of this series it emerged that a high percentage (54.1%) had nipple and areolar involvement, suggesti ng their removal; it is no problem to sacrifice these when a good cosm etic result can be achieved by plastic remodelling.