Central quadrantectomy. (a) Shows location of central quadrantectomy skin incision. (b) Shows multiple “stars” indicating possible tumor locations suitable for this approach. (c) Shows resection cavity following excision of malignancy. The nipple-areolar complex was omitted in the left image to allow visualization of surgical cavity. (d) Shows results of glandular flap advancements that allow the surgical margins to be sutured together using purse-string sutures to obliterate the surgical cavity. Arrows showing undermining of skin flaps in the central breast. Nipple-areolar complex omitted in the left image to allow visualization of the approximated glandular tissue. (e) Shows breast following closure of the skin incision.
