| Experience with Transareolar Endoscopic Partial Mastectomy
in Patients with Breast Cancer : 5 Years Follow-up Results |
| Dong Woo Kang, Yon Seon Kim, Hong Rae Jo, Byung Kyun Ko |
| Department of Surgery, Ulsan University Hospital, Ulsan University College of Medicine, Ulsan, Korea |
| 유방암 환자에서 내시경을 이용한 유륜부절개 부분 유방절제술에 대한 경험 및 5년 추적 관찰의 결과 |
|
강동우, 김연선, 조홍래, 고병균 |
|
울산대학교 의과대학 울산대학교병원 외과 |
| Corresponding Author:
Byung Kyun Ko ,Tel: +82-52-250-7109, Fax: +82-52-250-8071, Email: byungkyunko@naver.com |
|
Received: November 20, 2010; Accepted: December 23, 2010. |
|
|
Share : 
|
| ABSTRACT |
Purpose: Breast conserving surgery has been a standard surgery for breast cancers. This operation has a great
cosmetic advantage over total mastectomy. Although breast conserving surgery can retain a good shape of the
breast, an operation scar would be a disadvantage. Endoscopic surgery can be performed via a small and remote
incision that becomes inconspicuous after surgery. We therefore designed transareolar endoscopic partial
mastectomy in breast conserving surgery for breast cancer.
Materials and
Methods: Fifteen patients with breast cancer underwent transareolar endoscopic partial
mastectomy. A semicircular incision was made around areolar and skin flap was made by using VisiportTM and
deepened to the lateral edge of the mammary gland. For mobilization of the mammary gland from pectoralis
muscle, we used a preperitoneal distention balloon system (PDB). The PDB allowed us to mobilize sufficiently
mammary gland from the pectoralis muscle. After freeing half of the mammary gland, tumor was excised without
difficulty with negative margins.
Results: The mean age of patients was 47.5 years. The mean tumor size was 2.0 cm (range: 1.3-3.0 cm) and the
mean tumor distance from nipple was 4.0 cm (range: 2.5-5.0 cm). In all patients, the tumor was excised with
negative margins. After a mean follow up of 5 years, no patient had local recurrence, but one patient experienced
distant metastasis. A patient satisfaction survey showed that all of patients evaluated the surgery as °∞Good°±.
Conclusion: Transareolar endoscopic partial mastectomy is an effective technique and feasible with a good
cosmetic results. However, further study with more patients and long-term follow-up is needed. |
| Keywords:
Breast neoplasm | Breast conserving surgery | Endoscopic partial mastectomy |
|
|
|
PDF Links
Full text via DOI
Download Citation 
