[Subcutaneous mastectomies. Apropos of 272 cases]

Subcutaneous mammectomy was performed in 272 patients with reconstruction in 256. This type of surgery lies midway between conservative surgery and mammectomy. The conditions of exeresis and prosthetic reconstruction, follow-up (recurrences and metastasis) were analyzed according to each histological type and were comparable with the usually reported results for breast cancer. Likewise, the cosmetic results were staged to analyze the different criteria allowing a symmetrically satisfactory reconstruction. Out come was globally satisfactory (70% good results). The only drawback for subcutaneous mammectomy would be the need to use a prosthesis which requires expertise in both breast surgery and plastic surgery.