Parallelogram partial mastectomy, upper pole cancer preoperative, and intraoperative images.
(A) Preoperative target marking and placement of parallelogram.
(B) Intraoperative marking with patient in supine position.
(C) Initial skin incision revealing wide exposure over target lesion.
(D) Full-thickness dissection posteriorly to chest wall to facilitate delivery of target lesion.
(E) Inked resected specimen.
(F) Deep fibroglandular closure using mastopexy advancement technique to close breast tissue over exposed muscle.
(G) Final wound closure.
Reproduced with permission from: Calhoun KE, Anderson BO. Oncoplastic surgery: Segmental resection for lumpectomies. In: Master Techniques in General Surgery: Breast Surgery, Bland KI, Klimberg SV (Eds), Lippincott Williams & Wilkins, Philadelphia 2010. Copyright © 2010 Lippincott Williams & Wilkins.
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