A comparative study of surgical accesses to breast fibroadenoma

Amit Chandan, Iqbal Ali, Kshitij Manerikar, Gurjit Singh


Introduction: A Breast lump is a major health concern amongst women.Increased awareness has resulted in patients seeking early surgical consultation. Surgical resection is traditionally done by Fibroadenoma excision through an overlying incision (FETOI). This technique results in marked scarring. Another approach to Fibroadenoma excision through a periareolar incision (FETPI), which pays special attention to incision location to preserve cosmesis. In this study we assessed the cosmetic superiority and early complications of employing these two incisions in patients with fibroadenoma. Materials and Methods: A prospective non-randomised study of 70 patients who were divided into two groups as per the criteria described in materials and methods section, was carried out in our hospital between April 2015 to September 2017. Examination carried out in detail and diagnosis was established by clinical examination and USG of breasts followed by FNAC of lump. Patients were subjected to FETPI and FETOI Procedures and results were compared. Results: The incidence of early complications such as pain, hematoma and skin flap bruising at post-op day 1, day 2 and day 3 follow-ups did not differ significantly between two groups (P-value>0.05 for all). The distribution of total cosmetic score is significantly better in Group A compared than Group B (P-value<0.001 for all). The distribution of self-assessment score at post-op 1-month, 3-months and 6-months follow-ups is significantly better in Group A compared to Group B. Conclusion: The FETPI technique yields superior cosmetic and self-assessment results with minor incidence of early postoperative complications.

Full Text:



Edwards M, Broadwater R, Tafra L, Jarowenki D et al. Progressive Adoption of Cryoablative Therapy for Breast Fibroadenoma in Community Practice. Am J Surg. 2004 September;188(3):221-24.

Singer AJ, Arora B, Dagum A, Valentine S, Hollander JE. Development and validation of a novel scar evaluation scale. PlastReconstr Surg. 2007 Dec;120(7):1892-7.

Hartmann LC, Sellers TA, Frost MH, Lingle WL, Degnim AC, Ghosh K, Vierkant RA, Maloney SD, Pankratz VS, Hillman DW, Suman VJ, Johnson J, Blake C, Tlsty T, Vachon CM, Melton LJ 3rd, Visscher DW. Benign breast disease and the risk of breast cancer. N Engl J Med. 2005 Jul 21;353(3):229-37.

Ranieri E, Barberi S, Caprio G, Civitelli L, Naticchioni E, Ceccarelli F, Rengo M. [Diagnosis and treatment of fibroadenoma of the breast: 20 years' experience]. Chir Ital. 2006 May-Jun;58(3):295-7.

Song R. Augmentation mammoplasty and an improved method of silastic gel breast prosthesis implantation through an areolar incision. Chinese journal of plastic surgery and burns. 1990 March;6(1):72–74. Chinese.

Liu X, ZhangJ,ZhouQ, Chen F et al. A Clinical Study On The Resection Of Breast Fibroadenoma Using Two Types Of Incision. Scandinavian Journal of Surgery. 2011 Jan;100(3):147-52.DOI: 10.1177/145749691110000302

Nisar W, ZarinM,MuslimM,Mushtaq M, Khan S. Fibroadenoma excision through periareolar incision versus an overlying incision. Pak J Surg.2013;29(3):165-68.


  • There are currently no refbacks.