Nipple-sparing mastectomy with different approaches: surgical incisions, complications, and cosmetic results. Preliminary results of 100 consecutive patients at a single center

被引：20

作者：

Corso, G. ^{[1
]}

De Lorenzi, F. ^{[2
]}

Vicini, E. ^{[1
]}

Pagani, G. ^{[1
]}

Veronesi, P. ^{[1
,3
]}

Sargenti, M. ^{[1
]}

Magnoni, F. ^{[1
]}

Naninato, P. ^{[1
]}

Maisonneuve, P. ^{[4
]}

Sangalli, C. ^{[5
]}

Rietjens, M. ^{[2
]}

Galimberti, Viviana ^{[1
]}

机构：

[1] IRCCS, Div Breast Canc Surg, European Inst Oncol, Milan, Italy

[2] IRCCS, European Inst Oncol, Div Plast & Reconstruct Surg, Milan, Italy

[3] Univ Milan, Sch Med, Milan, Italy

[4] IRCCS, European Inst Oncol, Div Epidemiol & Biostat, Milan, Italy

[5] IRCCS, European Inst Oncol, Div Data Management, Milan, Italy

来源：

JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY | 2018年 / 71卷 / 12期

关键词：

Nipple-sparing; mastectomy; Breast cancer; Plastic reconstruction; BREAST RECONSTRUCTION; MAMMAPLASTY; PATTERN; CANCER; SAFETY; WOMEN;

D O I：

10.1016/j.bjps.2018.07.022

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Nipple- and areola-sparing mastectomy is a novel surgical approach that preserves the nipple-areolar complex. Patients with moderate and/or severe breast ptosis are usually not eligible for this surgical approach. In this study, we aimed to demonstrate the feasibility of nonconventional surgical approaches for nipple-sparing mastectomy. One hundred consecutive patients diagnosed with primary breast cancer (BC) were enrolled in this study. Clinical and pathological data such as body mass index, smoking status, breast ptosis, complications, and aesthetic satisfaction (Breast-Q test) were collected. According to different types of breast ptosis, surgical procedures were classified as (a) hemi-periareolar, (b) round block, (c) vertical pattern, and (d) wise pattern skin incisions. We performed statistical analysis to assess the correlation with complications, degree of ptosis, and breast-Q scores.

引用

页码：1751 / 1760

页数：10

共 26 条

[1] Skin sparing mastectomy and immediate breast reconstruction: A review [J].

Agrawal, A. ;

Sibbering, D. M. ;

Courtney, C-A. .

EJSO, 2013, 39 (04) :320-328

[2]

Babiera G, 2014, J PLAST RECONSTR AES, V67, P449

[3] A NEW PERIAREOLAR MAMMAPLASTY - THE ROUND BLOCK TECHNIQUE [J].

BENELLI, L .

AESTHETIC PLASTIC SURGERY, 1990, 14 (02) :93-100

[4]

Chan YH, 2018, WORLD J SURG

[5] De-escalating and escalating treatments for early-stage breast cancer: the St. Gallen International Expert Consensus Conference on the Primary Therapy of Early Breast Cancer 2017 [J].

Curigliano, G. ;

Burstein, H. J. ;

Winer, E. P. ;

Gnant, M. ;

Dubsky, P. ;

Loibl, S. ;

Colleoni, M. ;

Regan, M. M. ;

Piccart-Gebhart, M. ;

Senn, H. -J. ;

Thurlimann, B. ;

Andre, F. ;

Baselga, J. ;

Bergh, J. ;

Bonnefoi, H. ;

Brucker, S. Y. ;

Cardoso, F. ;

Carey, L. ;

Ciruelos, E. ;

Cuzick, J. ;

Denkert, C. ;

Di Leo, A. ;

Ejlertsen, B. ;

Francis, P. ;

Galimberti, V. ;

Garber, J. ;

Gulluoglu, B. ;

Goodwin, P. ;

Harbeck, N. ;

Hayes, D. F. ;

Huang, C. -S. ;

Huober, J. ;

Khaled, H. ;

Jassem, J. ;

Jiang, Z. ;

Karlsson, P. ;

Morrow, M. ;

Orecchia, R. ;

Osborne, K. C. ;

Pagani, O. ;

Partridge, A. H. ;

Pritchard, K. ;

Ro, J. ;

Rutgers, E. J. T. ;

Sedlmayer, F. ;

Semiglazov, V. ;

Shao, Z. ;

Smith, I. ;

Toi, M. ;

Tutt, A. .

ANNALS OF ONCOLOGY, 2017, 28 (08) :1700-1712

[6] Why do women accept to undergo a nipple sparing mastectomy or to reconstruct the nipple areola complex when nipple sparing mastectomy is not possible? [J].

Didier, F. ;

Arnaboldi, P. ;

Gandini, S. ;

Maldifassi, A. ;

Goldhirsch, A. ;

Radice, D. ;

Minotti, I. ;

Ballardini, B. ;

Luini, A. ;

Santillo, B. ;

Rietjens, M. ;

Petit, J. Y. .

BREAST CANCER RESEARCH AND TREATMENT, 2012, 132 (03) :1177-1184

[7] Skin Reduction Nipple-Sparing Mastectomy [J].

Dietz, Jill ;

Fedele, Greg .

ANNALS OF SURGICAL ONCOLOGY, 2015, 22 (10) :3404-3404

[8] Nipple-sparing and skin-sparing mastectomy: Review of aims, oncological safety and contraindications [J].

Galimberti, Viviana ;

Vicini, Elisa ;

Corso, Giovanni ;

Morigi, Consuelo ;

Fontana, Sabrina ;

Sacchini, Virgilio ;

Veronesi, Paolo .

BREAST, 2017, 34 :S82-S84

[9] Refinements of the LeJour vertical mammaplasty skin pattern for skin-sparing mastectomy and immediate breast reconstruction [J].

Hunter, J. E. ;

Malata, C. M. .

JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2007, 60 (05) :471-481

[10]

Jakub JW, 2018, JAMA SURG

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