Skin-sparing mastectomy with sentinel lymph node dissection: less is more

Skin-sparing mastectomy is an emerging technique useful for patients with early-stage breast cancer who are not candidates for breast conservation surgery and are candidates for immediate plastic surgery reconstruction of the breast. Coupled with sentinel node surgery to assess lymph node status, the goal of this technique is to achieve maximal breast and axillary tissue conservation without compromising thorough tumor resection.