[Nipple sparing mastectomy: an update].

Area of Science:

• Oncology
• Surgical Oncology
• Plastic Surgery

Context:

• Mastectomy for breast cancer can lead to significant psychological distress and body image issues.
• Nipple sparing mastectomy (NSM) is an evolving surgical technique aiming to mitigate these negative impacts.
• The oncological safety and psychological benefits of NSM require thorough evaluation.

Purpose:

• To review the current literature on nipple sparing mastectomy (NSM).
• To assess the technical, oncological, plastic, and psychological aspects of NSM.
• To evaluate the safety and patient acceptance of NSM in breast cancer treatment.

Summary:

• Nipple sparing mastectomy (NSM) appears to be a safe oncological practice for selected breast cancer patients.
• The technique, while not yet validated in France, shows promise in improving psychological well-being and treatment acceptance.
• Key factors for successful NSM include meticulous patient selection, information, and adherence to surgical protocols like frozen section analysis and intraoperative vitality assessment.

Impact:

• NSM may enhance patient acceptance of breast cancer treatment and reduce psychological morbidity.
• Further validation and standardization of NSM, including adjuvant therapies like nipple radiotherapy, are needed.
• This approach represents a significant evolution in breast cancer surgery, balancing oncological safety with patient quality of life.