Nipple-Areola Sparing Mastectomy Followed by Immediate Breast Reconstruction in 126 Patients
- 1 Center of Breast Diseases, Shenzhen Second People’s Hospital, Shenzhen, China
- 2 Center of Breast Diseases, Shenzhen Second People’s Hospital, Shenzhen, China
- 3 Center of Breast Diseases, Shenzhen Second People’s Hospital, Shenzhen, China
- 4 Center of Breast Diseases, Shenzhen Second People’s Hospital, Shenzhen, China
- 5 Center of Breast Diseases, Shenzhen Second People’s Hospital, Shenzhen, China
- 6 Center of Breast Diseases, Shenzhen Second People’s Hospital, Shenzhen, China
Abstract
This study is to explore the indications, procedures, effectiveness, and feasibility of nipple-areola sparing mastectomy followed by immediate breast reconstruction. The nipple-areola sparing mastectomy followed by immediate breast reconstruction was performed in 126 patients with breast cancer from June 2005 to October 2011. The cosmetic outcomes of the reconstructed breasts were evaluated according to objective and subjective criteria. Meanwhile, the postoperative complications were observed and the therapeutic efficacies were followed up. All the operations were successful. Six patients experienced mild complications early after surgery and were resolved after symptomatic treatment. Both the subjective and objective evaluation for the aesthetic outcomes yielded a satisfactory rate of 97.62% during the 6-80-month follow-up. No recurrence or metastasis was found in 118 cases. Nipple-areola sparing mastectomy followed by immediate breast reconstruction is a simple and effective option for significantly improving the cosmetic outcomes and quality of life of patients, without serious complications or impact on the comprehensive treatment and long-term effect against breast cancer.
- F. Fitzal and P. Schrenk, “Oncoplastic Breast Surgery: A Guide to Clinic Practice,” Springer Wien, New York, 2010. doi:10.1007/978-3-211-99317-0
- A. Goldhirsch, J. N. Ingle and R. D. Gelber, “Thresholds for Therapies: Highlights of the St Gallen International Expert Consensus on the Primary Therapy of Early Breast Cancer 2009,” Annals of Oncology, Vol. 20, No. 8, 2009, pp. 1319-1329.
- N. Fersis, A. Hoenig, K. Relakis, et al., “Skin Sparing Mastectomy and Immediate Breast Reconstruction: Incidence of Recurrence in Patients with Invasive Breast Cancer,” Breast, Vol. 13, No. 6, 2004, pp. 488-493. doi:10.1016/j.breast.2004.06.009
- B. N. Zhang, T. Zhang, W. G. Hu, et al., “The Breast-Preserving Surgery for Breast Cancer,” Zhong Liu Xue Za Zhi, Vol. 8, No. 6, 2002, pp. 311-314.
- H. C. Jiang, F. C. Li and J. Li, “Skin-Sparing Incision Mastectomy and Immediate Implanting Breast Reconstruction,” Zhong Guo Shi Yong Wai Ke Za Zhi, Vol. 25, No. 2, 2005, pp. 84-85.
- M. Morrow, “More Mastectomies: Is This What Patients Really Want?” Journal of Clinical Oncology, Vol. 27, No. 25, 2009, pp. 4038-4040. doi:10.1200/JCO.2009.23.0078
- Balch, Jacobs: “Mastectomies on the Rise for Breast Cancer: The Tide Is Changing,” Annals of Surgical Oncology, Vol. 16, No. 10, 2009, pp. 2669-2672. doi:10.1245/s10434-009-0634-y
- H. Y. Wang, R. S. Ali, S. C. Chen, et al., “One-Stage Immediate Breast Reconstruction with Implant Following Skin-Sparing Mastectomy in Asian Patients,” Annals of Plastic Surgery, Vol. 60, No. 4, 2008, pp. 362-366. doi:10.1097/SAP.0b013e318063ef70
- H. Medina-Franco, L. O. Vasconez, R. J. Fix, et al., “Factors Associated with Local Recurrence after Skin-Sparing Mastectomy and Immediate Breast Reconstruction for Invasive Breast Cancer,” Annals of Surgery, Vol. 235, No. 6, 2002, pp. 814-819. doi:10.1097/00000658-200206000-00008
- C. Laronga, B. Kemp, D. Johnston, et al., “The Incidence of Occult Nipple-Areola Complex Involvement in Breast Cancer Patients Receiving a Skin-Sparing Mastectomy,” Annals of Surgical Oncology, Vol. 6, No. 6, 1999, pp. 609-613.doi:10.1007/s10434-999-0609-z
- B. Gerber, A. Krause, T. Reimer, et al., “Skin-Sparing Mastectomy with Conservation of the Nipple-Areola Complex and Autologous Reconstruction Is an Oncologically Safe Procedure,” Annals of Surgery, Vol. 238, No. 1, 2003, pp. 120-127. doi:10.1097/00000658-200307000-00016
- S. Y. Wang, Z. Z. Zhu, D. F. Peng, et al., “Efficacy of Modified Radical Operation of Preserving Nipple-Areolar Complex on Early Stage Breast Cancer,” Ai Zheng, Vol. 28, No. 3, 2009, pp. 41-45.