What is subareolar duct excision?

Duct excision surgery is an operation in which surgeons remove milk ducts located underneath the areola and the nipple. Our surgeons might do this in order to remove just a single one of your milk ducts located in this area.

What is areola reconstruction?

Advertisement. Nipple reconstruction surgery is usually an outpatient procedure that uses skin from the area of the breast where the nipple will be located to form a new nipple. Later, the reconstructed nipple may be tattooed to add color and to create the areola.

What does NAC mean with breast?

Preservation of the nipple areolar complex (NAC) provides the optimal conditions for immediate breast reconstruction (IBR). Growing evidence suggests the oncological safety of nipple sparing mastectomy (NSM) when neither NAC nor skin is affected by tumor.

What is breast re excision?

Re-excision means the surgeon reopens the surgical site to remove an additional margin of tissue, with the goal of getting a margin that is cancer-free. Sometimes this practice is called “clearing the margins.”

What happens after breast duct excision?

# Pain – You will experience some pain from the wound for a few days after the operation. It is unusual to get persistent pain after this operation. # Breastfeeding – If all of the milk ducts are removed you will not be able to breastfeed from that breast in the future.

Why would you have a breast duct removed?

Most people have a duct excision because they are getting nipple discharge. Removing the duct/ducts that are causing the discharge treats the problem and can also give a diagnosis if a needle biopsy prior to the operation hasn’t been able to achieve this.

Why do you lose your nipples after a mastectomy?

Because the nipple is insensate, the nipple can often be removed under local anesthesia or no anesthesia in the office by the plastic surgeon several weeks after surgery. In most cases, the nipple is removed and the areola is retained, so the cosmetic appearance is still acceptable to most patients.

What is Paget’s disease of the breast?

Paget disease of the breast (also known as Paget disease of the nipple and mammary Paget disease) is a rare type of cancer involving the skin of the nipple and, usually, the darker circle of skin around it, which is called the areola.

How common is re-excision after lumpectomy?

Results: For 6,725 patients undergoing initial lumpectomy for cancer, 328 surgeons reported 1,451 (21.6 %) patients had one or more re-excisions. The most common reasons for re-excision were ink positive margins in 783 (49.7 %), margin <1 mm (34.3 %), and margin 1-2 mm (7.2 %).

How successful is re-excision after lumpectomy?

In this analysis of outcomes for a large cohort of women with ILC undergoing BCS, we found that when re-excision lumpectomy was attempted to clear positive margins, it was successful 74.2% of the time (46 out of 62 re-excision lumpectomies).