Objective: To explore the selection of the best incision for operative treatment of benign breast tumor. Methods: The clinical data of 1000 cases of benign breast tumor operated by cosmetology incision were retrospectively analyzed. Results: All patients underwent tumor resection and were satisfied with the incision. Conclusions: Benign breast tumor can be excised through cosmetology incision, and no obvious scar leaves behind, so it can satisfy the cosmetic requirement of many patients.
Female breast benign tumor is a common clinical disease; it accounts for 80% of breast tumor [
All of 1000 patients are female; age: 14 - 63 years old, average 34 years old; the tumor located in the central area: 120 cases (12%), located in the upper outer quadrant: 480 cases (48%), located in the lower outer quadrant: 200 cases (20%), located in the upper inner quadrant: 128 cases (12.8%), located in the lower inner quadrant: 72 cases (7.2%); The average tumor diameter is 1.6 cm (0.6 - 12 cm), among that tumor diameter <3 cm 550 cases (55%), 3.3 - 5 cm 374 cases (37.4%), >5 cm 76 cases (7.6%); Pathologic diagnosis: fibroadenoma of breast 692 cases (69.2%), cystic hyperplasia 125 cases (12.5%), intraductal papilloma 114 cases (11.4%), galactocele (part was combined chronic inflammation) 19 cases (1.9%), fibroadenosis 34 cases (3.4%), adiponecrosis 16 cases (1.6%).
Selection of incision operation: periareolar incision that from the areola 3 cm within the tumor, incision along the tumor underwent skin from a distance of more than 3 cm of the areola arc (
Marking the location of the tumor and incision position and direction preoperative, the length of incision in general 2 - 3 cm (the large diameter of the tumor can be appropriately extended). Local infiltration anesthesia with 0.5% lidocaine by marking in turn cut the skin and subcutaneous tissue, Leave the fat layer, open radial gland, complete resection of the tumor and its coating, electro coagulation, without suture gland; 3 - 0 suture of subcutaneous tissue, 4 - 0 absorbable suture skin. No drainage, wound pressure dressing. Tumor located in the glands deep. If the glands are thinner, no nursing requirements, it could vertical incision to space resection of the tumor by the arc incision.
Operation time 20 - 35 min, average 30 min. All the 1000 patients case can implementation of the curved surface or areola incision tumor successfully. All the 1000 patients’ cases are well healed. Postoperative follow-up for 3 months to 3 years, underwent a B-ultrasonic examination, no obvious scar, symmetrical breasts, appearance and function had no effect when standing, the incision is not obvious, no residual tumor. Patients were satisfied for the clinical efficacy and breast appearance. Compared with the traditional incision in breast tumor resection compared, this operative method did not prolong the operation time, good cosmetic effect, and without increasing complications.
For breast benign tumor located in the area around the areola, it should adopt the periareolar incision to remove
the tumor. The method is no obvious controversy in line with the principle of cosmetcology and the cosmetic effect is also better than the traditional radial incision [
For discussion of breast cosmetic surgery incision of benign tumor, FU Jianmin [
Surgical incision of breast benign tumor is divided into two parts of the skin incision and mammary gland incision. Ideal breast skin incision should be with the skin of static tension line parallel to or consistent [
tumor exposed completely, convenient operation, thorough hemostasis, short operation time, less complications, low cost, and suitable for all the benign breast tumor.
All in all, benign breast tumor can be excised through cosmetology incision, and no obvious scar leaves behind, so it can satisfy the cosmetic requirement of many patients.