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KMID : 1101820200080010037
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Journal of Breast Disease
2020 Volume.8 No. 1 p.37 ~ p.42
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The Usefulness of Periareolar Zigzag Incision in Breast Conserving-Surgery in Breast Cancer Patients: Experience in a Single Institution
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Lim Seong-Jun
Kim Hee-Jeong
Chung Il-Young
Kim Ji-Sun
Lee Sae-Byul
Lee Jong-Won
Son Byung-Ho
Ahn Sei-Hyun
Kim Hak-Hee
Kim Sung-Bae
Gong Gyung-Yub
Ko Beom-Seok
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Abstract
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Purpose: Various incision techniques have been used in breast-conserving surgery (BCS) to reduce scar formation, including the frequently used periareolar incision technique. However, its applicability in removing large-size tumors or those distant from the nipple has remained limited. We performed periareolar zigzag (P-Z) incision to address these problems in BCS and to improve cosmetic outcomes.
Methods: Patients who underwent P-Z incision in BCS between January 2016 and November 2017 were retrospectively analyzed in terms of clinicopathological features and surgical findings. Factors affecting the positive margin were analyzed.
Results: A total of 305 patients were reviewed. The patients presented with a median age of 51 years, mean tumor size 1.9 cm, and mean tumor distance of 3.3 cm from the nipple. Intraoperative frozen biopsy and final pathologic findings showed 43 (14.1%) and 7 (2.3%) tumor-positive margins. There were no major complications associated with the surgery, and no re-operations were required due to bleeding or other reasons.
Conclusion: The P-Z incision technique was used to achieve sufficient operative field during BCS, and large tumors or those distant from the nipple could be removed without any complications. This technique is considered an oncologically safe surgical technique resulting in good cosmetic outcomes.
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KEYWORD
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Margins of excision, Segmental mastectomy, Surgical wound
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