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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Nipple-sparing mastectomy--is it worth the risk?
Jean-Yves Petit1, Umberto Veronesi, Visnu Lohsiriwat
1Division of Plastic Surgery, European Institute of Oncology, Via Ripamonti 435, 20141 Milan, Italy. jean.petit@ieo.it
Nature Reviews. Clinical Oncology
|October 26, 2011
Summary
Nipple-sparing mastectomy (NSM) offers natural breast reconstruction results. Modern techniques ensure local recurrence rates comparable to traditional mastectomies, making NSM a safe oncologic option.
Area of Science:
- Oncology
- Plastic Surgery
- Breast Surgery
Background:
- Nipple-sparing mastectomy (NSM) aims to minimize psychological distress post-mastectomy by preserving the nipple-areola complex.
- Concerns exist regarding increased local recurrence risk due to nipple-areola complex preservation.
Approach:
- Implementing stricter patient selection criteria for NSM.
- Utilizing localized radiation therapy in conjunction with NSM.
- Advancing subcutaneous mastectomy techniques for more thorough glandular tissue removal, particularly in the retroareolar region.
Key Points:
- Recent studies show local recurrence rates in NSM patients are comparable to those undergoing modified radical or skin-sparing mastectomies.
- Improved surgical techniques allow for more extensive glandular tissue removal, addressing oncologic safety concerns.
- The 5-year local recurrence rate for NSM is reported between 3-6%.
Conclusions:
- Nipple-sparing mastectomy provides aesthetic benefits without compromising oncologic outcomes.
- Current evidence supports NSM as a viable and safe surgical option for breast cancer treatment.
- Technological advancements in mastectomy procedures enhance safety and patient satisfaction.
