Techniques and outcomes of nipple sparing mastectomy in the surgical management of breast cancer

被引:9
作者
Chu C.K. [1 ]
Carlson G.W. [1 ]
机构
[1] Divisions of Plastic Surgery and Surgical Oncology, Emory University School of Medicine, Building C, Atlanta, GA 30322
关键词
Areola; Breast; Breast conservation; Breast conserving; Cancer; Immediate reconstruction; Implant; Mastectomy; NAC; Necrosis; Nipple; Nipple areolar complex; Nipple preservation; Nipple sparing; NSM; Oncology; Reconstruction; Recurrence; Skin sparing; SSM; Surgery; Survival; Total skin sparing;
D O I
10.1007/s12609-013-0107-y
中图分类号
学科分类号
摘要
Tailored therapy for breast cancer with conservation of uninvolved tissue is becoming increasingly important, especially as the benefits of breast reconstruction are recognized. Preservation of the nipple areolar complex during mastectomy is emerging as a viable option in selected patients. Technical considerations for prevention of adverse outcomes such as nipple necrosis are reviewed, along with implications for reconstructive method and outcomes. Finally, the oncologic efficacy of nipple-sparing mastectomy is discussed in the context of occult nipple disease and local recurrence. Standardization of technique, optimization of aesthetic outcome, and examination of long-term prognosis represent future areas of development. © 2013 Springer Science+Business Media New York.
引用
收藏
页码:118 / 124
页数:6
相关论文
共 50 条
  • [1] Carlson G.W., Bostwick III J., Carlson G.W., Bostwick J., Styblo T.M., Moore B., Et al., Skin-sparing mastectomy. Oncologic and reconstructive considerations, Ann Surg., 225, pp. 570-575, (1997)
  • [2] Wijayanayagam A., Kumar A.S., Foster R.D., Esserman L.J., Optimizing the total skin-sparing mastectomy, Arch Surg, 143, pp. 38-45, (2008)
  • [3] Garwood E.R., Moore D., Ewing C., Hwang E.S., Alvarado M., Foster R.D., Et al., Total skin-sparing mastectomy: Complications and local recurrence rates in 2 cohorts of patients, Ann Surg., 249, pp. 26-32, (2009)
  • [4] Rawlani V., Fiuk J., Johnson S.A., Buck II D.W., Hirsch E., Hansen N., Et al., The effect of incision choice on outcomes of nipple-sparing mastectomy reconstruction, Can J Plast Surg., 19, pp. 129-133, (2011)
  • [5] Algaithy Z.K., Petit J.Y., Lohsiriwat V., Maisonneuve P., Rey P.C., Baros N., Et al., Nipple sparing mastectomy: Can we predict the factors predisposing to necrosis?, Eur J Surg Oncol., 38, pp. 125-129, (2012)
  • [6] Ashitate Y., Lee B.T., Ngo L.H., Laurence R.G., Hutteman M., Oketokoun R., Et al., Quantitative assessment of nipple perfusion with near-infrared fluorescence imaging, Ann Plast Surg., 70, pp. 149-153, (2013)
  • [7] Carlson G.W., Chu C.K., Moyer H.R., Duggal C., Losken A., Predictors of nipple ischemia after nipple sparing mastectomy, Breast J., (2013)
  • [8] Voltura A.M., Tsangaris T.N., Rosson G.D., Jacobs L.K., Flores J.I., Singh N.K., Et al., Nipple-sparing mastectomy: Critical assessment of 51 procedures and implications for selection criteria, Ann Surg Oncol., 15, pp. 3396-3401, (2008)
  • [9] Warren Peled A., Foster R.D., Stover A.C., Itakura K., Ewing C.A., Alvarado M., Et al., Outcomes after total skin-sparing mastectomy and immediate reconstruction in 657 breasts, Ann Surg Oncol, 19, pp. 3402-3409, (2012)
  • [10] Stolier A.J., Levine E.A., Reducing the risk of nipple necrosis: Technical observations in 340 nipple-sparing mastectomies, Breast J., 19, pp. 173-179, (2013)