Skin Sparing Mastectomy with Preservation of Nipple Areola Complex and Immediate Breast Reconstruction in Patients with Breast Cancer: A Single Centre Prospective StudyReport as inadecuate




Skin Sparing Mastectomy with Preservation of Nipple Areola Complex and Immediate Breast Reconstruction in Patients with Breast Cancer: A Single Centre Prospective Study - Download this document for free, or read online. Document in PDF available to download.

Plastic Surgery International - Volume 2014 2014, Article ID 589068, 6 pages -

Clinical Study

Department of Plastic Surgery, IPGME&R, Kolkata, India

Department of Plastic Surgery, Medical College Kolkata, 88 College Street, Kolkata, West Bengal 700073, India

Department of Surgery, Midnapore Medical College, India

Received 31 May 2014; Revised 12 October 2014; Accepted 19 October 2014; Published 11 November 2014

Academic Editor: Georg M. Huemer

Copyright © 2014 Debarati Chattopadhyay et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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 core biopsy-proven, peripherally located breast cancer of any tumor size and with any “N” status, with documented negative intraoperative frozen section biopsy of retroareolar tissue, and distance from the nipple to tumor margin >2 cm on mammography. Results. The median age of the patients was 45 years. The majority had either stage II or stage III breast cancer. The median mammographic distance of tumor from nipple areola complex NAC was 3.8 cm. The overall operative morbidity was minimal. The NAC could be preserved in all the patients. There was no local recurrence of tumor at median follow-up of 28.5 months. The aesthetic outcomes were satisfactory. Conclusion. NASM and immediate breast reconstruction can be successfully achieved with minimal morbidity and very low risk of local recurrence in appropriately selected breast cancer patients, with acceptable aesthetic results and good patient satisfaction.





Author: Debarati Chattopadhyay, Souradip Gupta, Prabir Kumar Jash, Marang Buru Murmu, and Sandipan Gupta

Source: https://www.hindawi.com/



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