A clinical study on the resection of breast fibroadenoma using two types of incision

Abstract

Background and Aims: Breast fibroadenoma (FA) is traditionally managed by FA excision through an overlying incision (FETOI). FA excision through a periareolar incision (FETPI) has been developed, paying special attention to incision location to preserve cosmesis. The purpose of this article is to discuss the FETPI technique. Methods: The clinical data of 76 patients who underwent FETPI (98 FAs, group A) and 82 patients who underwent FETOI (122 FAs, group B) were retrospectively analyzed in this non-randomized study. Early postoperative complications, nipple sensation loss, and cosmetic results were compared between the two groups. The techniques, indications, and special considerations of the FETPI technique were described and identified. Results: The FETPI technique was associated with more early postoperative complications (7/76 vs. 2/82, p = 0.067) and more nipple sensation losses (15/76 vs. 7/82, p = 0.042) than those of the FETOI technique. Cosmetic assessment at 6 months demonstrated statistically more excellent/good results in group A than in group B (62/76 vs. 50/82, p = 0.004). Conclusion: The FETPI technique yields superior cosmetic results with minor postoperative complications.