Abstract
Background: Nipple-sparing mastectomy (NSM) combines skin-sparing mastectomy with preservation of the nipple-areolar dermis and intraoperative pathologic assessment of the nipple core. We evaluated our initial experience with NSM in terms of clinical outcomes. Methods: An Institutional Review Board-approved retrospective review of patients undergoing NSM between November 2005 and June 2007 was performed. Results: Eighteen NSM and two areola-sparing mastectomies were performed. Indications for surgery were invasive cancer (n = 4), ductal carcinoma in situ (DCIS) (n = 5), pseudoangiomatous stromal hyperplasia (n = 3), and risk reduction (n = 8). The average distance of tumor from the nipple on imaging was 4.8 cm (range 4 to 5.7). Nipple cores were all benign, and 2 patients developed self-limited superficial desquamation of the nipple. At a mean follow up of 10.8 months, all nipple-areolar complexes were intact, and there were no local or systemic recurrences. Conclusions: NSM can be successfully achieved with low morbidity in appropriately selected patients.
Original language | English (US) |
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Pages (from-to) | 575-577 |
Number of pages | 3 |
Journal | American journal of surgery |
Volume | 196 |
Issue number | 4 |
DOIs | |
State | Published - Oct 2008 |
Keywords
- Nipple-areola complex
- Nipple-sparing
ASJC Scopus subject areas
- Surgery