Fifteen-year series of skin-sparing mastectomy for stage 0 to 2 breast cancer - 18/08/11
Corresponding author. Tel.: +1-405-271-7867; fax: +1-405-271-4443.Abstract |
Background |
In 1989, skin-sparing mastectomy started at a number of breast centers in the United States because of an increasing demand for immediate reconstruction and a desire for better cosmetic outcomes.
Methods |
To ensure the safety of this new approach, we have reviewed the personal series of a single surgeon using a standardized skin-sparing technique during 1989 to 2004.
Results |
Skin-sparing mastectomy with immediate reconstruction was performed on 225 patients, and standard mastectomy was performed on 1,022 patients. The age distribution was 8 years younger on average in the reconstructed group. The average follow-up for each group was 49 months. The local recurrence for each group was 1.7% and 1.5% (P > .80). The regional recurrence was 3.8% and 3.9% (P > .80). The average time to local recurrence was similar in each group (33.1 and 32.6 months, P > .80).
Conclusions |
A skin-sparing mastectomy does not change the local, regional, or systemic risk to breast cancer patients.
Le texte complet de cet article est disponible en PDF.Keywords : Breast cancer, Skin-sparing mastectomy, Breast reconstruction
Plan
Vol 190 - N° 6
P. 933-938 - décembre 2005 Retour au numéro
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