Nipple sparing mastectomy: An innovative skin incision for an alternative approach

被引:72
作者
Regolo, L. [1 ]
Ballardini, B. [1 ]
Gallarotti, E. [1 ]
Scoccia, E. [1 ]
Zanini, V. [1 ]
机构
[1] Maugeri Fdn, Breast Unit, I-27100 Pavia, Italy
关键词
nipple sparing mastectomy; breast reconstruction; breast cancer;
D O I
10.1016/j.breast.2007.07.040
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Choice of the most appropriate surgical treatment for breast cancer patients can also be a technical issue. Cosmetic results after conservative surgery can be poor in certain instances and, at the same time, total mastectomy can appear as an over-treatment. For some selected patients, the "nipple sparing mastectomy" (NSM) is an alternative surgical treatment and more and more papers on this technique are appearing in the literature. One hundred and two NSMs have been performed in our department between June 2003 and October 2006, initially via periareolar skin incision, now through a skin incision on the lateral aspect of the breast to reduce the necrotic risk for the nipple. The lateral skin incision saves the integrity of skin blood supply, allows for a complete breast gland removal and saves the integrity of the body image of women who show no scars when seen upfront. (C) 2007 Published by Elsevier Ltd.
引用
收藏
页码:8 / 11
页数:4
相关论文
共 12 条
  • [1] Local recurrence after skin-sparing mastectomy: Tumor biology or surgical conservatism?
    Carlson, GW
    Styblo, TM
    Lyles, RH
    Bostwick, J
    Murray, DR
    Staley, CA
    Wood, WC
    [J]. ANNALS OF SURGICAL ONCOLOGY, 2003, 10 (02) : 108 - 112
  • [2] Nipple-sparing mastectomy in breast cancer: a viable option?
    Cense, HA
    Rutgers, EJT
    Cardozo, ML
    Van Lanschot, JJB
    [J]. EUROPEAN JOURNAL OF SURGICAL ONCOLOGY, 2001, 27 (06): : 521 - 526
  • [3] Nipple-sparing mastectomy - Technique and results of 54 procedures
    Crowe, JP
    Kim, JA
    Yetman, R
    Banbury, J
    Patrick, RJ
    Baynes, D
    [J]. ARCHIVES OF SURGERY, 2004, 139 (02) : 148 - 150
  • [4] Skin-sparing mastectomy with conservation of the nipple-areola complex and autologous reconstruction is an oncologically safe procedure
    Gerber, B
    Krause, A
    Reimer, T
    Müller, H
    Küchenmeister, I
    Makovitzky, J
    Kundt, G
    Friese, K
    [J]. ANNALS OF SURGERY, 2003, 238 (01) : 120 - 127
  • [5] Skin involvement in invasive breast carcinoma: Safety of skin-sparing mastectomy
    Ho, CM
    Mak, CKL
    Lau, Y
    Cheung, WY
    Chan, MCM
    Hung, WK
    [J]. ANNALS OF SURGICAL ONCOLOGY, 2003, 10 (02) : 102 - 107
  • [6] Necrotic complications after nipple- and areola-sparing mastectomy
    Komorowski, Andrzej L.
    Zanini, Vittorio
    Regolo, Lea
    Carolei, Adriana
    Wysocki, Wojciech M.
    Costa, Alberto
    [J]. WORLD JOURNAL OF SURGERY, 2006, 30 (08) : 1410 - 1413
  • [7] The incidence of occult nipple-areola complex involvement in breast cancer patients receiving a skin-sparing mastectomy
    Laronga, C
    Kemp, B
    Johnston, D
    Robb, GL
    Singletary, SE
    [J]. ANNALS OF SURGICAL ONCOLOGY, 1999, 6 (06) : 609 - 613
  • [8] The nipple-sparing mastectomy: Early results of a feasibility study of a new application of perioperative radiotherapy (ELIOT) in the treatment of breast cancer when mastectomy is indicated
    Petit, JY
    Veronesi, U
    Orecchia, R
    Rey, P
    Didier, F
    Giraldo, A
    Luini, A
    De Lorenzi, F
    Rietjens, M
    Garusi, C
    Intra, M
    Yamaguchi, S
    Martella, S
    [J]. TUMORI JOURNAL, 2003, 89 (03): : 288 - 291
  • [9] When mastectomy becomes inevitable: The nipple-sparing approach
    Petit, JY
    Veronesi, U
    Luini, A
    Orecchia, R
    Rey, PC
    Martella, S
    Didier, F
    De Lorenzi, F
    Rietjens, M
    Garusi, C
    Sonzogni, A
    Galimberti, V
    Leida, E
    Lazzari, R
    Giraldo, A
    [J]. BREAST, 2005, 14 (06) : 527 - 531
  • [10] Simmons RM, 2002, ANN SURG ONCOL, V9, P165