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For centrally-located breast cancer (CLBC), the nipple-areolar-complex (NAC) preservation surgery had not been generally recommended because of their highly malignant involvement into the NAC. However, the recent preliminary studies, performing nipplesparing mastectomy (NSM), have shown that NACpreserving surgery is clinically and oncologic ally sound treatment in some selected patients. Under these backgrounds, we performed the NAC-sparing breast-conserving surgery with immediate latissimus dorsi muscular flap reconstruction for fifty-six yearold woman, who had a 12 mm-sized periareolar breast cancer located at 1.5 cm distant from her nipple. She has not presented any signs of recurrences to date (for 30 months since the operation). This procedure can be an option for the selected cases of CLBC.
Shimane journal of medical science
Shimane University Faculty of Medicine
Departmental Bulletin Paper
Faculty of Medicine