Skin-Sparing and Nipple-Sparing Mastectomy: Preoperative, Intraoperative, and Postoperative Considerations

Chagpar, Anees B.
May 2004
American Surgeon;May2004, Vol. 70 Issue 5, p425
Academic Journal
The last several decades have witnessed significant advances in the surgical management of breast cancer. Although many have embraced breast conservation as the procedure of choice, some patients will still opt for mastectomy for a variety of reasons. Recently, the concept of skin sparing mastectomy and immediate breast reconstruction has emerged as an option that provides excellent cosmetic results while being ontologically safe. However, this surgical approach must be considered within a multidisciplinary context, and there are a number of perioperative issues that need to be considered. In addition, newer techniques, which spare the nipple and/or areola, warrant further examination.


Related Articles

  • Oncological considerations of skin-sparing mastectomy. Cunnick, G. H.; Mokbel, K. // International Seminars in Surgical Oncology;2006, Vol. 3, p14 

    Aim: To review evidence concerning the oncological safety of performing skin-sparing mastectomy (SSM) for invasive breast cancer and ductal carcinoma in situ (DCIS). Furthermore, the evidence concerning RT in relation to SSM and the possibility of nipple preservation was considered. Methods:...

  • "I lost a breast at age 27". Bradon, Jane // Cleo;Nov2004, Issue 385, p161 

    Presents an article about the experiences of a breast cancer patient who decided to have a mastectomy. Challenges faced by the patient after the detection of the disease; Importance of emotional support from family and relatives to the recovery of cancer patients; Changes in the outlooks of the...

  • Aussie sisters tell: We had our breasts removed TO SAVE OUR LIVES. Hayne, Julie // Woman's Day (Australia Edition);9/14/2009, Vol. 61 Issue 37, p40 

    The article reports on Gold Coast sisters Veronica and Elisha Neave and Christine Keepence who were all diagnosed with BRCA2, an inherited gene disorder which increases the risk of developing breast cancer. After doing a lot of research, and considering our family history of breast cancer,...

  • Inappropriate Halsted Mastectomy and Patient Volume in Italian Hospitals. Grilli, Roberto; Mainini, Franco; Penna, Angelo; Bertolini, Guido; Scorpiglione, Nicola; Torri, Valter; Liberati, Alessandro // American Journal of Public Health;Dec1993, Vol. 83 Issue 12, p1762 

    To study whether Halsted mastectomy was used only when properly indicated, a prospective survey was undertaken on the process of care of 985 breast cancer patients seen consecutively at 62 general hospitals in Northern and Central Italy. Overall, 79% of Halsted mastectomies were performed...

  • Necrotic Complications after Nipple- and Areola-Sparing Mastectomy. Komorowski, Andrzej L.; Zanini, Vittorio; Regolo, Lea; Carolei, Adriana; Wysocki, Wojciech M.; Costa, Alberto // World Journal of Surgery;Aug2006, Vol. 30 Issue 8, p1410 

    Objective: The objective was to analyze the frequency and factors influencing necrotic complication in female patients undergoing nipple- and areola-sparing mastectomy. Summary and background data: Nipple- and areola-sparing mastectomy has recently been shown to yield satisfactory results in a...

  • A mixed-methods cohort study to determine perceived patient benefit in providing custom breast prostheses. Kubon, T. M.; McClennen, J.; Fitch, M. I.; McAndrew, A.; Anderson, J. // Current Oncology;Apr2012, Vol. 19 Issue 2, pe43 

    Background Of all mastectomy patients, 90% will use an external prosthesis where the standard of care uses a stock prosthesis that is purchased "off the shelf." Our objectives were to determine patient demand for and perceived value of a custom breast prosthesis. The information obtained will...

  • "I got breast cancer when I was 4". Kowanjko, Sonja // Dolly;Jan2004, Issue 399, p46 

    Features Brooke Fleming, who was diagnosed and survived breast cancer at age five. Manner in which the cancer was discovered; Effect of mastectomy on her teenage life; Recurrence of the cancer; Moral support expressed by friends and family.

  • Young Women with Locally Advanced Breast Cancer Who Achieve Breast Conservation after Neoadjuvant Chemotherapy Have a Low Local Recurrence Rate. SWEETING, RAESHELL S.; KLAUBER-DEMORE, NANCY; MEYERS, MICHAEL O.; DEAL, ALLISON M.; BURROWS, EMILY M.; DROBISH, AMY A.; ANDERS, CAREY K.; CAREY, LISA A. // American Surgeon;Jul2011, Vol. 77 Issue 7, p850 

    Women with locally advanced breast cancer (LABC) who are breast conservation (BCT) candidates after neoadjuvant chemotherapy have the best long-term outcome and low local-regional recurrence (LRR) rates. However, young women are thought to have a higher risk of LRR based on historical data. This...

  • Surgical strategy, methods of reconstruction, surgical margins and postoperative complications in oncoplastic breast surgery. Rose, Michael; Manjer, Jonas; Ringberg, Anita; Svensson, Henry // European Journal of Plastic Surgery;Apr2014, Vol. 37 Issue 4, p205 

    Background: Oncoplastic breast surgery is an evolving discipline in the surgical treatment of breast cancer aimed to improve the outcome. Methods: Oncoplastic breast surgery was performed between January 2008 and December 2010 on 72 women with 74 breast cancers selected from a population of...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics