What type of incision is used for an excisional biopsy of a centrally located breast mass?

An excisional biopsy of a centrally located breast mass is typically performed using a circumareolar incision. This approach allows for direct access to the mass while minimizing visible scarring, as the incision is made around the areola, blending with the natural contour of the breast. This technique is advantageous because it facilitates both the removal of the lesion and potential reconstruction if necessary.

The circumareolar incision also provides an optimal cosmetic outcome, as it can effectively conceal the scar within the darker pigmentation of the areola. This is particularly important in breast surgeries where aesthetic considerations are significant for the patient.

In contrast, other incision types like inframmary, vertical, or axillary are not preferred for centrally located masses due to either increased visibility of scars, less direct access to the mass, or complications that may arise from their positioning. For example, inframmary incisions are more appropriate for lower breast masses, while vertical incisions may not provide the necessary access to the center of the breast. Axillary incisions are generally used for procedures involving lymph nodes rather than direct breast tissue access. Thus, the circumareolar incision is the optimal choice for excisional biopsy in this scenario.