Periareolar Approach in Oncoplastic Breast Conservative Surgery

Marco Klinger, Silvia Giannasi, Francesco Klinger, Fabio Caviggioli, Valeria Bandi, Barbara Banzatti, Davide Forcellini, Luca Maione, Barbara Catania, Valeriano Vinci, Andrea Lisa, G. Cornegliani, Mattia Siliprandi, Corrado Tinterri

Research output: Contribution to journalArticlepeer-review


Breast cancer represents the most frequent cancer in female population. Nowadays breast conservative surgery (BCS) is an accepted option for breast malignancies, and its indications has been extended thanks to the advent of oncoplastic surgery, reducing both mastectomy and re-excision rate, avoiding at the same time breast deformities. From January 2008 to November 2011, 84 women underwent BCS with periareolar approach for oncoplastic volume replacement. We divided patients into four groups analyzing breast size and resection volume (Group 1: small-moderate sized breast with resection 20%; Group 3: big sized breast with resection 20%). We evaluated patients’ satisfaction regarding final esthetic outcome using the specific module “Satisfaction with outcome” of the Breast-Q questionnaire 1 year after surgery. The mean age was 52.1 years, and the mean follow-up was 11.2 months. During the follow-up, 12 patients have been lost. We obtained high satisfaction mean value with Breast-Q questionnaire in each group: 75.8 in group 1, 63.4 in group 2, 81.1 in group 3, 69.7 in group 4. Periareolar approach as oncoplastic volume replacement technique is useful in correction of breast deformity after BCS: it is a versatile technique that can be easily adapted for any breast tumor location and for wide glandular resection.

Original languageEnglish
Pages (from-to)431-436
Number of pages6
JournalBreast Journal
Issue number4
Publication statusPublished - Jul 1 2016


  • breast cancer
  • breast conservative surgery
  • periareolar approach

ASJC Scopus subject areas

  • Internal Medicine
  • Oncology
  • Surgery


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