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Patient Selection and Technical Considerations in Nipple-Sparing and Areola-Sparing Mastectomy

Patient Selection and Technical Considerations in Nipple-Sparing and Areola-Sparing Mastectomy Skin-sparing (SSM) and nipple-sparing mastectomy (NSM) have gained widespread popularity over the past few years. Breast reconstruction is facilitated and the aesthetic result is improved in comparison to patients undergoing mastectomy alone. The oncologic safety has been demonstrated in various publications. However, discussions still arise regarding correct patient selection and the role of histologic assessment of the subareolar tissue of the nipple areola complex (NAC) to exclude possible tumor infiltration, as this is the main limiting factor of NSM. This review focuses on oncologic consideration, correct patient selection, and surgical management for patients eligible for SSM/NSM. The most recent literature was reviewed to provide evidenced-based recommendations for daily clinical routine. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Breast Cancer Reports Springer Journals

Patient Selection and Technical Considerations in Nipple-Sparing and Areola-Sparing Mastectomy

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References (72)

Publisher
Springer Journals
Copyright
Copyright © 2011 by Springer Science+Business Media, LLC
Subject
Medicine & Public Health; Oncology; Internal Medicine; Surgical Oncology
ISSN
1943-4588
eISSN
1943-4596
DOI
10.1007/s12609-011-0039-3
Publisher site
See Article on Publisher Site

Abstract

Skin-sparing (SSM) and nipple-sparing mastectomy (NSM) have gained widespread popularity over the past few years. Breast reconstruction is facilitated and the aesthetic result is improved in comparison to patients undergoing mastectomy alone. The oncologic safety has been demonstrated in various publications. However, discussions still arise regarding correct patient selection and the role of histologic assessment of the subareolar tissue of the nipple areola complex (NAC) to exclude possible tumor infiltration, as this is the main limiting factor of NSM. This review focuses on oncologic consideration, correct patient selection, and surgical management for patients eligible for SSM/NSM. The most recent literature was reviewed to provide evidenced-based recommendations for daily clinical routine.

Journal

Current Breast Cancer ReportsSpringer Journals

Published: Feb 22, 2011

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