Abstract
Background
Breast tumors located in the lower inner quadrant remain challenging in oncoplastic surgery due to limited tissue volume and the risk of unsatisfactory cosmetic outcomes. This study describes a surgical technique developed to address these challenges while maintaining oncologic principles.
Methods
A retrospective descriptive analysis was performed on 5 consecutive patients with lower inner quadrant breast tumors who underwent breast-conserving surgery between January 2025 and March 2026 using this technique. The approach is based on a triangular design, mobilization of a superior glandular flap, and placement of the incision within the inframammary fold without manipulation of the nipple–areola complex.
Results
The planned surgical design was achieved in all cases. Negative surgical margins were obtained in all patients. No major postoperative complications, including wound complications or nipple–areola complex ischemia, were observed. Early postoperative assessment demonstrated satisfactory breast contour and symmetry.
Conclusion
This technique may be considered a feasible option for selected patients with lower inner quadrant tumors. The initial findings suggest favorable early oncologic and aesthetic outcomes. Further studies with larger cohorts and longer follow-up are needed to confirm these results.
Keywords
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