Doughnut Lumpectomy: Caveat II

Fig. 5.1

Preoperative picture of a 61-year-old patient with a 2.5 cm invasive ductal breast cancer in the upper outer quadrant of her left breast. Because of ptosis of the breasts, breast-conserving surgery with bilateral reduction mammoplasty was first planned

5.2 Surgery

After sentinel node biopsy, the skin around the NAC was deepithelialized in a typical fashion. After incision of the dermis, the breast parenchyma around the tumor was dissected from the skin. Partial mastectomy was performed under palpable control of the tumor maintaining 2 cm macroscopic margins. The defect within the breast (Fig. 5.2

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