Highlights
- •Nipple-sparing mastectomy (NSM) allows to remove the entire gland preserving skin envelope and nipple-areola complex.
- •NSM is considered in breast cancer when a conserving approach cannot obtain adequate local control and good aesthetic results.
- •Higher BMI may cause longer operative times and increased risk of complications such as nipple-areola complex ischemia.
- •Repetitive performance of standardized tasks could enhance surgeon’s ability when he faces the challenge of the NSM.
Abstract
Nipple-sparing mastectomy is used with increasing frequency in the multidisciplinary
treatment of patients with operable breast cancer. This technique allows to remove
the entire glandular tissue preserving the skin envelope and the nipple-areola complex.
Common indications to nipple-sparing mastectomy include extensive or multicentric
disease, inability to obtain clear surgical margins with breast conserving-surgery,
large tumor size with respect to the breast size, as well as cases with contraindications
for radiotherapy as well as patient preference. Higher body mass index may cause longer
operative times and increased risk of complications such as nipple-areola complex
and skin flap ischemia. Repetitive performance of standardized tasks could optimize
oncological and aesthetic outcomes and increase the chance of success.
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References
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Article info
Publication history
Published online: January 07, 2020
Accepted:
January 2,
2020
Received:
December 30,
2019
Identification
Copyright
© 2020 Elsevier Inc. All rights reserved.
