Vol 70, No 1 (2020)
Review paper
Published online: 2020-03-03

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Surgical anatomy of the breast revisited

Wojciech M. Wysocki123, Guido Libondi3, Aleksiej Juszczak13
Nowotwory. Journal of Oncology 2020;70(1):26-28.


With the advent of breast conservation options in the 1970s, as well as wider acceptance of breast reconstruction in cancer patients in 1980/1990, ending up with evolution of oncoplastic concepts in the early 2000s, detailed surgical anatomy of the breast became important. This short article reviews surgical anatomy of breast with particular emphasis on innervation and blood supply to the skin and nipple-areolar complex, as well as points out the concept of compartmental breast cancer anatomy. Meticulous dissection and avoidance of transection of major vessels and nerves constitutes the crucial factor for satisfactory results of surgery in terms of preservation of sensation as well as appropriate vitality of skin.

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  1. Meriam-Webster Dictionary. https://www.merriam-webster.com/.
  2. Halsted WS. I. The Results of Operations for the Cure of Cancer of the Breast Performed at the Johns Hopkins Hospital from June, 1889, to January, 1894. Ann Surg. 1894; 20(5): 497–555.
  3. Fisher B, Redmond C, Fisher E, et al. Ten-Year Results of a Randomized Clinical Trial Comparing Radical Mastectomy and Total Mastectomy with or without Radiation. N Engl J Med. 1985; 312(11): 674–681.
  4. Fisher B, Anderson S, Bryant J, et al. Twenty-year follow-up of a randomized trial comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer. N Engl J Med. 2002; 347(16): 1233–1241.
  5. Veronesi U, Zucali R, Luini A. Local control and survival in early breast cancer: the Milan trial. Int J Radiat Oncol Biol Phys. 1986; 12(5): 717–720.
  6. Wamalwa AO, Stasch T, Nangole FW, et al. Surgical anatomy of reduction mammaplasty: a historical perspective and current concepts. S Afr J Surg. 2017; 55(1): 22–28.
  7. Schlenz I, Kuzbari R, Gruber H, et al. The sensitivity of the nipple-areola complex: an anatomic study. Plast Reconstr Surg. 2000; 105(3): 905–909.
  8. O'Connell RL, Rusby JE. Anatomy relevant to conservative mastectomy. Gland Surg. 2015; 4(6): 476–483.
  9. Bland KI, Copeland EM, Klimberg S. Comprehensive Management of Benign and Malignant Diseases (Fifth Edition). The Breast 2018: 20–36.e2.
  10. Saour S, Libondi G, Ramakrishnan V. Microsurgical refinements with the use of internal mammary (IM) perforators as recipient vessels in transverse upper gracilis (TUG) autologous breast reconstruction. Gland Surg. 2017; 6(4): 375–379.
  11. Robertson SA, Rusby JE, Cutress RI. Determinants of optimal mastectomy skin flap thickness. Br J Surg. 2014; 101(8): 899–911.
  12. Mallucci P, Branford OA. Shapes, Proportions, and Variations in Breast Aesthetic Ideals: The Definition of Breast Beauty, Analysis, and Surgical Practice. Clin Plast Surg. 2015; 42(4): 451–464.
  13. Würinger E, Mader N, Posch E, et al. Nerve and vessel supplying ligamentous suspension of the mammary gland. Plast Reconstr Surg. 1998; 101(6): 1486–1493.
  14. Würinger E. Secondary reduction mammaplasty. Plast Reconstr Surg. 2002; 109(2): 812–814.
  15. Awad MA, Sherif MM, Sadek EY, et al. A New Septum in the Female Breast. Arch Plast Surg. 2017; 44(2): 101–108.