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Conservative mastectomies: an overview.

Maurizio Bruno Nava1, Nicola Rocco1, Giuseppe Catanuto1

  • 11 Scuola di Oncologia Chirurgica Ricostruttiva, Via Besana, Milano, Italy ; 2 Department of Clinical Medicine and Surgery, University of Naples "Federico II", Via S.Pansini 5, 80131 Naples, Italy ; 3 Multidisciplinary Breast Unit, Azienda Ospedaliera Cannizzaro, Via Messina 829, 95126 Catania, Italy.

Gland Surgery
|December 9, 2015
PubMed
Summary
This summary is machine-generated.

Conservative mastectomies, including skin-sparing (SSM) and nipple-areola complex-sparing (NSM) techniques, preserve breast appearance and body image. These oncologically safe procedures offer psychological benefits without compromising mastectomy

Keywords:
Skin-sparing mastectomy (SSM)breast cancernipple-sparing mastectomy (NSM)

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Area of Science:

  • Oncology
  • Plastic Surgery
  • Breast Surgery

Background:

  • Traditional mastectomy can negatively impact a woman's body image and psychological well-being.
  • Immediate reconstruction options following mastectomy are crucial for maintaining body image.
  • Conservative mastectomy techniques aim to improve cosmetic outcomes while ensuring oncological safety.

Purpose of the Study:

  • To present a rationalized approach to conservative mastectomy techniques.
  • To highlight the benefits of skin-sparing mastectomies (SSM), nipple-areola complex-sparing mastectomies (NSM), and skin-reducing mastectomies (SRM).
  • To evaluate the oncological safety and cosmetic outcomes of conservative mastectomies.

Main Methods:

  • Systematic organization of reconstructive algorithms for conservative mastectomies.
  • Description of SSM, NSM, and SRM techniques.
  • Review of oncological safety and cosmetic results.

Main Results:

  • Conservative mastectomies preserve the breast parenchyma while saving the skin envelope.
  • These techniques allow for immediate reconstruction, maintaining women's body image.
  • Psychological advantages include good cosmesis and preserved body image without compromising oncological safety.

Conclusions:

  • Conservative mastectomies, including SSM and NSM, offer significant psychological benefits.
  • These techniques provide good cosmetic results and maintain body image.
  • Oncological safety is maintained with conservative mastectomy approaches.