Aesthetic unit boundary approach to large fibroadenoma resection

Research output: Contribution to journalArticle

Abstract

Background Fibroadenomas are the most common benign breast tumors in adolescents. Surgical excision is indicated when the tumor becomes large or symptomatic. Multiple approaches have been described. However, unsightly scars, excess skin, and breast asymmetry are common challenges after tumor resection. The aims of our study were to describe a concentric circumareolar approach combining the round-block technique and geometric principles in the management of large benign breast tumors. Methods This was a retrospective review of pediatric patients who have undergone excision of large fibroadenoma with concentric circumareolar approach from June 2007 to May 2017. Preoperatively, the excess skin that needed to be resected was marked based on geometric principles. Under general anesthesia, circumareolar deepithelialization of the excess skin and tumor resection were performed. Purse-string suture technique was used to achieve the proper nipple-areola complex size. Results Satisfactory breast symmetry and minimal scarring were achieved in all 6 patients. One patient developed a small seroma, which resolved spontaneously without intervention. Conclusions Concentric circumareolar approach can be used to resect large benign breast tumors while concealing the scar along the aesthetic unit boundary of the breast. The cosmetic outcome and recovery were promising. The approach is simple to execute, highly reproducible, and less dependent on intuition.

LanguageEnglish (US)
Pages31-35
Number of pages5
JournalAnnals of plastic surgery
Volume81
Issue number1
DOIs
StatePublished - Jul 1 2018

Fingerprint

Fibroadenoma
Esthetics
Cicatrix
Breast
Nipples
Breast Neoplasms
Skin
Seroma
Suture Techniques
Intuition
Neoplasms
Cosmetics
General Anesthesia
Pediatrics

Keywords

  • aesthetic unit
  • breast
  • fibroadenoma
  • oncoplastic
  • round-block

ASJC Scopus subject areas

  • Surgery

Cite this

Aesthetic unit boundary approach to large fibroadenoma resection. / Wang, Chien Wei; Hatley, Robyn M; Walters, Kenneth C; Pipkin, Walter L; Bairas, Diane; Yu, Jack C.

In: Annals of plastic surgery, Vol. 81, No. 1, 01.07.2018, p. 31-35.

Research output: Contribution to journalArticle

@article{7ed82c2fe2dc49a58c38d450c03334d5,
title = "Aesthetic unit boundary approach to large fibroadenoma resection",
abstract = "Background Fibroadenomas are the most common benign breast tumors in adolescents. Surgical excision is indicated when the tumor becomes large or symptomatic. Multiple approaches have been described. However, unsightly scars, excess skin, and breast asymmetry are common challenges after tumor resection. The aims of our study were to describe a concentric circumareolar approach combining the round-block technique and geometric principles in the management of large benign breast tumors. Methods This was a retrospective review of pediatric patients who have undergone excision of large fibroadenoma with concentric circumareolar approach from June 2007 to May 2017. Preoperatively, the excess skin that needed to be resected was marked based on geometric principles. Under general anesthesia, circumareolar deepithelialization of the excess skin and tumor resection were performed. Purse-string suture technique was used to achieve the proper nipple-areola complex size. Results Satisfactory breast symmetry and minimal scarring were achieved in all 6 patients. One patient developed a small seroma, which resolved spontaneously without intervention. Conclusions Concentric circumareolar approach can be used to resect large benign breast tumors while concealing the scar along the aesthetic unit boundary of the breast. The cosmetic outcome and recovery were promising. The approach is simple to execute, highly reproducible, and less dependent on intuition.",
keywords = "aesthetic unit, breast, fibroadenoma, oncoplastic, round-block",
author = "Wang, {Chien Wei} and Hatley, {Robyn M} and Walters, {Kenneth C} and Pipkin, {Walter L} and Diane Bairas and Yu, {Jack C}",
year = "2018",
month = "7",
day = "1",
doi = "10.1097/SAP.0000000000001457",
language = "English (US)",
volume = "81",
pages = "31--35",
journal = "Annals of Plastic Surgery",
issn = "0148-7043",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Aesthetic unit boundary approach to large fibroadenoma resection

AU - Wang, Chien Wei

AU - Hatley, Robyn M

AU - Walters, Kenneth C

AU - Pipkin, Walter L

AU - Bairas, Diane

AU - Yu, Jack C

PY - 2018/7/1

Y1 - 2018/7/1

N2 - Background Fibroadenomas are the most common benign breast tumors in adolescents. Surgical excision is indicated when the tumor becomes large or symptomatic. Multiple approaches have been described. However, unsightly scars, excess skin, and breast asymmetry are common challenges after tumor resection. The aims of our study were to describe a concentric circumareolar approach combining the round-block technique and geometric principles in the management of large benign breast tumors. Methods This was a retrospective review of pediatric patients who have undergone excision of large fibroadenoma with concentric circumareolar approach from June 2007 to May 2017. Preoperatively, the excess skin that needed to be resected was marked based on geometric principles. Under general anesthesia, circumareolar deepithelialization of the excess skin and tumor resection were performed. Purse-string suture technique was used to achieve the proper nipple-areola complex size. Results Satisfactory breast symmetry and minimal scarring were achieved in all 6 patients. One patient developed a small seroma, which resolved spontaneously without intervention. Conclusions Concentric circumareolar approach can be used to resect large benign breast tumors while concealing the scar along the aesthetic unit boundary of the breast. The cosmetic outcome and recovery were promising. The approach is simple to execute, highly reproducible, and less dependent on intuition.

AB - Background Fibroadenomas are the most common benign breast tumors in adolescents. Surgical excision is indicated when the tumor becomes large or symptomatic. Multiple approaches have been described. However, unsightly scars, excess skin, and breast asymmetry are common challenges after tumor resection. The aims of our study were to describe a concentric circumareolar approach combining the round-block technique and geometric principles in the management of large benign breast tumors. Methods This was a retrospective review of pediatric patients who have undergone excision of large fibroadenoma with concentric circumareolar approach from June 2007 to May 2017. Preoperatively, the excess skin that needed to be resected was marked based on geometric principles. Under general anesthesia, circumareolar deepithelialization of the excess skin and tumor resection were performed. Purse-string suture technique was used to achieve the proper nipple-areola complex size. Results Satisfactory breast symmetry and minimal scarring were achieved in all 6 patients. One patient developed a small seroma, which resolved spontaneously without intervention. Conclusions Concentric circumareolar approach can be used to resect large benign breast tumors while concealing the scar along the aesthetic unit boundary of the breast. The cosmetic outcome and recovery were promising. The approach is simple to execute, highly reproducible, and less dependent on intuition.

KW - aesthetic unit

KW - breast

KW - fibroadenoma

KW - oncoplastic

KW - round-block

UR - http://www.scopus.com/inward/record.url?scp=85048966438&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85048966438&partnerID=8YFLogxK

U2 - 10.1097/SAP.0000000000001457

DO - 10.1097/SAP.0000000000001457

M3 - Article

VL - 81

SP - 31

EP - 35

JO - Annals of Plastic Surgery

T2 - Annals of Plastic Surgery

JF - Annals of Plastic Surgery

SN - 0148-7043

IS - 1

ER -