ABSTRACT

INTRODUCTION Tumors in the central portion of the breast have traditionally been managed by mastectomy. Though the criteria for breast conserving surgery are relative, proximity to the nipple-areola complex usually mandates complete mastectomy. Techniques of oncoplastic surgery permit excision of larger volumes of surrounding normal breast tissue, which increases the chance of microscopic clearance with tumor free margins and improved local control rates. Furthermore, such techniques lead to sustained optimum cosmetic results in the longer term and improvements in psychological morbidity.