Oncologic Safety of Skin-Sparing and Nipple-Sparing Mastectomy: A Discussion and Review of the Literature
نویسندگان
چکیده
Breast conservation therapy has been the cornerstone of the surgical treatment of breast cancer for the last 20 years; however, recently, the use of mastectomy has been increasing. Mastectomy is one of the most frequently performed breast operations, and with novel surgical techniques, preservation of the skin envelope and/or the nipple-areolar complex is commonly performed. The goal of this paper is to review the literature on skin-sparing mastectomy and nipple-sparing mastectomy and to evaluate the oncologic safety of these techniques. In addition, this paper will discuss the oncologic importance of margin status and type of mastectomy as it pertains to risk of local recurrence and relative need for adjuvant therapy.
منابع مشابه
Management of skin-sparing mastectomy: results of a survey of German hospitals.
BACKGROUND The aim of this study was to evaluate the current management of skin-sparing mastectomy in German hospitals and to determine its oncologic safety. For this purpose, 100 surgeons were surveyed regarding their use of skin-sparing mastectomy. RESULTS Almost all surveyed hospitals performed skin-sparing mastectomy. Most of them believe that the recurrence rate is equal to that of conve...
متن کاملNIPPLE SPARING MASTECTOMY AND THE ADVENT OF AN ENABLING SURGICAL ILLUMINATION AND VISUALIZATION SYSTEM Clinical Experience Survey of Thought Leaders in Breast Surgery
BACKGROUND Recent advances in surgical techniques for breast cancer, including nipple sparing mastectomy (NSM), reflect growing interest in optimal aesthetic outcomes and associated psychological recovery without sacrificing oncologic safety and efficacy. A new surgical illumination and visualization technology addresses this need while enabling broader application and adoption of the nipple sp...
متن کاملThe changing face of mastectomy: an oncologic and cosmetic perspective.
BACKGROUND The history of surgical treatment of breast cancer is rich with contributions from many surgeons over the centuries. Among the recent advances in technique is the nipple-sparing mastectomy, which reflects the emerging focus on cosmetic outcomes. METHODS We took a backward glance at the literature illustrating the evolution of surgical management of breast cancer, culminating with n...
متن کاملNipple-sparing mastectomy.
BACKGROUND The debate over nipple-sparing mastectomy continues to evolve. Over the past several years, it has become more widely accepted, especially in the setting of prophylactic mastectomy, but its role in the treatment of breast cancer has only recently been reexamined. METHODS Two indications for the procedure are discussed: prophylactic, for the high-risk patient; and the more controver...
متن کاملNipple-sparing Mastectomy in Breast Cancer: From an Oncologic Safety Perspective
OBJECTIVE To evaluate the oncologic safety of nipple-sparing mastectomy (NSM) for breast cancer patients based on current literature. DATA SOURCES A comprehensive literature search of Medline, Embase databases was conducted for studies published through March 2014. STUDY SELECTION Our search criteria included English-language studies that focused on NSM at nipple-areola complex (NAC) involv...
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ورودعنوان ژورنال:
دوره 2012 شماره
صفحات -
تاریخ انتشار 2012