Total skin-sparing mastectomy without preservation of the nipple-areola complex - 18/08/11
Corresponding author. 4301 W. Markham, Slot 725, Little Rock, AR 72205-7199. Tel.: +1-501-686-6504; fax: +1-501-526-6191.Abstract |
Background |
We hypothesized that total skin-sparing mastectomy (TSM) including where the skin overlying the nipple and areola is preserved would be oncologically safe and facilitate improved cosmetic reconstruction.
Methods |
A review (May 2003 through January 2005) was completed on all procedures that were performed through an inframammary incision or a previous scar with reconstruction using Botox, AlloDerm, and a subpectoral tissue implant.
Results |
Thirty-one patients had 50 TSMs. Twelve percent (6/50) of TSMs had the skin of the nipple and areola resected: 4 (14% of tumors) because of tumor involvement and 2 (4%) because of skin necrosis. Fourteen percent of patients had other complications: 4% (2/50) had infection and/or flap necrosis and 10% (5/50) had superficial epidermolysis requiring no intervention, for a total complication rate of 18%. Average cosmetic score was 8.5 (range 4 to 10). No recurrences are evident after mean follow-up of 7.9 ± 5.4 months.
Conlusion |
Our short-term experience suggests that TSM has an acceptable complication rate, is theoretically oncologically safe, and facilitates an improved cosmetic result.
Le texte complet de cet article est disponible en PDF.Keywords : Skin-sparing mastectomy, Nipple-areolar complex, Nipple involvement, Breast reconstruction, Botox, AlloDerm
Plan
| Supported by the Virginia Clinton Kelley/Fashion Footwear Association of New York Breast Cancer Research Fellowship (A.G.M., J.K.), and the Susan G. Komen Breast Cancer Clinical Fellowship (J.K.). |
Vol 190 - N° 6
P. 920-926 - décembre 2005 Retour au numéro
Article précédent
- Surgeon and community factors affecting breast cancer sentinel lymph node biopsy
- Julie R. Hutchinson, Anees B. Chagpar, Charles R. Scoggins, Robert C.G. Martin, David J. Carlson, Alison L. Laidley, Souzan E. El-Eid, Terre Q. McGlothin, Robert D. Noyes, Phillip B. Ley, Todd M. Tuttle, Kelly M. McMasters, University of Louisville Breast Sentinel Lymph Node Study ⁎
- Is incisional biopsy of melanoma harmful?
- Robert C.G. Martin, Charles R. Scoggins, Merrick I. Ross, Douglas S. Reintgen, R. Dirk Noyes, Michael J. Edwards, Kelly M. McMasters
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?