Periareolar incision in surgery for breast fibroadenoma

doi:10.3877/cma.j.issn.1674-0807.2011.06.005

Abstract

Abstract:

Objective

To assess the feasibility of periareolar incision in surgery for breast fibroadenoma.

Methods

Totally 220 patients with breast fibroadenoma over 3 cm away from areola were divided into an experimental group (n=120) and a control group (n=100). The patients were operated on with periareolar incision in the experimental group,and with conventional open operative incision in the control group. The patients were regularly fouowed up. The scar size in the 3-month follow-up, capability of breast-feeding, and size of hematoma or ecchymosis were recorded. All data were analyzed by χ² test using SPSS 13.0 software.

Results

The incision healed well in all patients. The suture was removed 6-7 days after operation. The size of scar was ≤0.2 cm in 90 patients of the experimental group,and in 20 cases of the control group. The difference was significant(χ²=66.00, P=0.00).Both groups had similar complication rates, such as lactation loss and hematoma.

Conclusions

The periareolar incision for breast fibroadenoma(the distance from areola ＞3.0 cm) is safe and effective. It can reduce residual scar and improve the cosmetic outcome.

Key words: breast fibroadenoma, incision, scar

Zhao-qun HE. Periareolar incision in surgery for breast fibroadenoma[J]. Chinese Journal of Breast Disease(Electronic Edition), 2011, 05(06): 687-692.

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Figures/Tables 5

References 11

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组别	例数	术后3月时瘢痕大小		血肿或瘀斑
组别	例数	＞0.2 cm	≤0.2 cm	≤2 cm	＞2 cm
实验组	100	80	20	95	5
对照组	120	30	90	114	6
χ ²值		66.00		0.00
P值		0.00		0.99

组别	例数	术后3月时瘢痕大小		血肿或瘀斑
组别	例数	＞0.2 cm	≤0.2 cm	≤2 cm	＞2 cm
实验组	100	80	20	95	5
对照组	120	30	90	114	6
χ ²值		66.00		0.00
P值		0.00		0.99

组别	术后生育总例数	能哺乳	不能哺乳	χ ²值	P值
实验组	63	50	13	0.289	0.59
对照组	65	49	16

组别	术后生育总例数	能哺乳	不能哺乳	χ ²值	P值
实验组	63	50	13	0.289	0.59
对照组	65	49	16

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