"Diamond" mammoplasty as a part of conservative management of breast cancer: Description of a new technique.

ABSTRACT

INTRODUCTION: Oncoplastic surgery is an integral part of current surgical treatment of breast cancer. Superior breast quadrant is a forgiving tumor location that often allows the conservation of the breast with simple mammoplastic manoeuvres. In this report, we describe a novel modification of the classic level I mammoplasty. PRESENTATION OF CASE A 49 years patient had an ill-defined carcinoma at the 12 o'clock position that necessitated a generous tumorectomy. A diamond shaped incision was done over the tumor area and the nipple-areola complex. Peri-areolar skin was de-epithelialized and the tumorectomy was completed down to the pectoral plane. The incision was closed in a star-like shape around the areola leading to natural appearance of the breast and a limited visible suture line. DISCUSSION: We suggest that the described technique offered an advantage over the classic omega mastopexy or the round-block technique and provided a versatile technique for oncologic management and mastopexy. CONCLUSION: The presented technique may be considered when performing level I mammoplasty.