Nipple-sparing mastectomy—initial experience at a tertiary center - 22/08/11
Corresponding author. Tel.: +1-507-284-4499; fax: +1-507-284-5196Abstract |
Background |
Nipple-sparing mastectomy (NSM) combines skin-sparing mastectomy with preservation of the nipple–areolar dermis and intraoperative pathologic assessment of the nipple core. We evaluated our initial experience with NSM in terms of clinical outcomes.
Methods |
An Institutional Review Board–approved retrospective review of patients undergoing NSM between November 2005 and June 2007 was performed.
Results |
Eighteen NSM and two areola-sparing mastectomies were performed. Indications for surgery were invasive cancer (n = 4), ductal carcinoma in situ (DCIS) (n = 5), pseudoangiomatous stromal hyperplasia (n = 3), and risk reduction (n = 8). The average distance of tumor from the nipple on imaging was 4.8 cm (range 4 to 5.7). Nipple cores were all benign, and 2 patients developed self-limited superficial desquamation of the nipple. At a mean follow up of 10.8 months, all nipple–areolar complexes were intact, and there were no local or systemic recurrences.
Conclusions |
NSM can be successfully achieved with low morbidity in appropriately selected patients.
Le texte complet de cet article est disponible en PDF.Keywords : Nipple-areola complex, Nipple-sparing
Vol 196 - N° 4
P. 575-577 - octobre 2008 Retour au numéro
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