To cite: Hanafiah M, Alhabshi SMI, Mahin AH. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2013-201281 DESCRIPTION We present a case with images of a 50-year-old woman who was initially presented with Paget’s disease of the right breast. She then underwent a wide local excision and nipple removal of the affected breast followed by transverse rectus abdominis my...

Background. Skin and nipple areola sparing mastectomy (NASM) has recently gained popularity as the management of breast cancer. This study aims to evaluate the aesthetic outcome, patient satisfaction, and oncological safety of NASM. Methods. The study prospectively analyzes the results of NASM and immediate breast reconstruction in 34 women with breast cancer. The criteria for inclusion were co...

OBJECTIVE The aim of this procedure was to definitively treat periductal mastitis and periareolar sepsis which was previously resistant to multiple surgical procedures and nonoperative treatment of chronic nipple sepsis. METHODS We employed a multidisciplinary approach to the treatment of end-stage periductal mastitis using a combination of central breast excision and immediate autologous lat...

BACKGROUND The latissimus dorsi myocutaneous flap and implant breast reconstruction procedure has undergone many refinements over its lifetime. In fact, the authors have made many aesthetic and technical refinements to their own approach to breast reconstruction. OBJECTIVES The authors review the historical progression of latissimus flap and breast reconstruction techniques and compare these ...

BACKGROUND Nipple-sparing mastectomy (NSM) is gaining popularity due to its superior aesthetic results. When reconstructing the breast with free abdominal tissue transfer, we must readdress the recipient vessel, because NSM can cause difficulty in access to the chest vessel. METHODS Between June 2006 and March 2011, a total of 92 women underwent NSM with free abdominal tissue transfer. A late...

BACKGROUND The availability of acellular dermal matrix (ADM) and synthetic mesh products has prompted plastic surgeons to revisit subcutaneous implant-based breast reconstruction. The literature is limited, however, with regards to evidence on patient selection, techniques, and outcomes. METHODS A systematic review of the Medline and Cochrane databases was performed for original studies repor...

IntroductionThere are limited available data on the prognostic implications of locoregional recurrence (LRR) after nipple-sparing mastectomy (NSM) and immediate reconstruction. In this study, we investigated patterns prognosis associated with LRR following treatment approach for breast cancer.MethodsA total 1696 patients primary cancer who underwent NSM reconstruction from March 2003 to Decembe...

BACKGROUND Nipple-sparing mastectomy performed via an inframammary fold incision with implant-based reconstruction is an oncologically safe procedure that provides excellent cosmesis. OBJECTIVES The authors report their experience with conservative treatment of postoperative nipple-areolar complex (NAC) ischemia and an analysis of risk factors for NAC ischemia and conservative treatment failu...