Perspectives of Cosmesis following Breast Conservation for Multifocal and Multicentric Breast Cancers

Figure 1

This patient was diagnosed with multicentric breast cancer at another tertiary oncology centre and offered mastectomy, which she declined. Having undergone neoadjuvant chemotherapy, (a) shows her preoperative status with multiple localisation wires in various directions. A modified boomerang incision [30] was used with a dual-pronged segment resection joined centrally (dotted lines) (b). This approach allows en bloc resection for lesions in opposite quadrants across the nipple-areolar complex through a single incision. After extirpation of all identified residual lesions, parenchymal pillars were mobilised, followed by their direct apposition with sutures (e). Her cosmetic outcome two years after completion of treatment is shown in (g) and (h). She is currently disease-free more than five years after treatment.

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