In:
Journal of Surgical Oncology, Wiley, Vol. 108, No. 4 ( 2013-09), p. 207-212
Abstract:
Nipple‐sparing mastectomy (NSM) improves cosmetic results after mastectomy. As most consider advanced tumors, or tumors near the nipple–areola complex (NAC), as a contraindication for this type of surgery, we challenged this hypothesis. Methods One hundred thirty‐eight NSM were performed in 121 consecutive patients. In 122 procedures for cancer, patients were included if there was no evidence of NAC proximity ( 〈 1 cm), and if the retro‐areolar margin was negative, even for locally advanced tumors or after neoadjuvant chemotherapy. Results Total NAC necrosis occurred in six cases (4.3%). Additionally, NAC was removed after histological exam of the retro‐areolar tissue in 19 cases (16% of cancer patients). Among 93 cases whose tumor‐to‐NAC distance was recorded, NAC was removed in 11/31 cases (35%) if the distance was 1 cm, and in 8/62 cases (12.9%) if it was more than 1 cm ( P = 0.01). NAC was removed more frequently in the first half of the study (17/69 vs. 8/69: P = 0.05). At a median follow‐up of 26 months for the cancer patient group, there was only one local recurrence (outside the NAC). Conclusions Our experience adds evidence that NSM is safe, if the retro‐areolar resection margin is clear and maximal surgical clearance is performed. J. Surg. Oncol. 2013 108:207–212 . © 2013 Wiley Periodicals, Inc.
Type of Medium:
Online Resource
ISSN:
0022-4790
,
1096-9098
Language:
English
Publisher:
Wiley
Publication Date:
2013
detail.hit.zdb_id:
1475314-5
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