Central Quadrantectomy and Reconstruction of the Nipple-Areola Complex with a De-epithelialized Inferior-Based Pedicle with a Skin Island
A 62-year-old woman was diagnosed (open biopsy) with Paget carcinoma of the left nipple-areola complex (NAC). Mammography and breast MRI revealed suspicious microcalcifications 30 mm in size solely behind the nipple. Vacuum needle biopsy found intraductal carcinoma in situ of intermediate grade. Breast conservation surgery was suggested and planned as a central quadrantectomy. The patient had a large and ptotic breast (Fig. 35.1a–c).