Breast conserving surgery with nipple resection was carried out on 4 p
atients with early breast cancer because location of each tumor was ve
ry close to nipple. These consisted of 3 patients with stage I invasiv
e ductal carcinoma and 1 patient with stage II invasive ductal carcino
ma. Cancer cells were not recognized histopathologically in the resect
ion margins of each case and all cases underwent a curative resection
with axillary dissection (up to level III). The rested areola in each
case was made to be round-shaped by skin suture and the edge of the wo
und located in the center of areola looked like a small nipple. The co
smetic result of this operation were excellent in all patients. This o
peration may be effective both for these patients with early breast ca
ncer locating under the nipple or areola and for those whose tumor was
very close to nipple.