Optimizing the total skin-sparing mastectomy

Archives of Surgery
Akushla WijayanayagamLaura J Esserman

Abstract

Dissection of subnipple tissue to spare the entire skin envelope of the breast (total skin-sparing mastectomy) is a feasible option in appropriately selected patients and yields an excellent final cosmetic outcome. Prospective surgical technique outcomes study. University-based breast care referral center. Total skin-sparing mastectomy with preservation of the nipple-areola complex was performed in 64 breasts in 43 women. Indications for total skin-sparing mastectomy included prophylaxis (n = 29), invasive carcinoma (n = 24), and ductal carcinoma in situ (n = 11). Preoperative magnetic resonance imaging was used to select patients and to confirm absence of disease within 2 cm of the nipple. Nipple tissue was serially sectioned at pathologic analysis. Circumareolar/nipple-areola free graft, inframammary, crescentic mastopexy, areola crossing, and radial incisions were used. Immediate reconstruction was performed with implant or tissue expander placement or latissimus dorsi muscle, transverse rectus abdominis muscle, or deep inferior epigastric perforator muscle flaps. Nipple-areola complex skin survival, implant loss, skin flap necrosis, wound infection, and occult neoplasm. Nipple-areola complex skin survival was complete in 80...Continue Reading

Associated Clinical Trials

Citations

Apr 1, 2014·Gynécologie, obstétrique & fertilité·M CohenG Houvenaeghel
Mar 25, 2014·International Journal of Surgery·Victor O L KarusseitSteve A S Olorunju
Jul 12, 2014·Annales de chirurgie plastique et esthétique·J-G FéronF Reyal
Jun 21, 2014·American Journal of Surgery·Katherine E PorukJayant Agarwal
May 14, 2014·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Nathaniel E MargolisAmy N Melsaether
Aug 25, 2011·Annals of Plastic Surgery·Yoshitomo AshitateJohn V Frangioni
Sep 1, 2010·Indian Journal of Surgical Oncology·Naomi SakamotoMitsuhiro Tozaki
Aug 1, 2012·International Journal of Surgical Oncology·Christopher TokinSarah L Blair
Aug 8, 2009·Annals of Surgical Oncology·Naomi SakamotoMitsuhiro Tozaki
Apr 25, 2012·Annals of Surgical Oncology·Anne Warren PeledLaura J Esserman
Sep 12, 2012·Annals of Surgical Oncology·Shawn T SteenArmando E Giuliano
Jun 2, 2009·Plastic and Reconstructive Surgery·Scott L SpearCostanza Cocilovo
Jul 10, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Kyeong-Tae LeeGoo-Hyun Mun
Apr 23, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·F M Al-MufarrejS R Jacobson
Mar 20, 2013·Clinics in Plastic Surgery·Valerie Lemaine, Colleen McCarthy
Sep 28, 2010·Gynécologie, obstétrique & fertilité·M BoukerrouK Clough
Mar 5, 2016·Journal of Surgical Oncology·Mark Sisco, Katharine A Yao
Jul 14, 2010·Surgical Oncology Clinics of North America·Amar Gupta, Patrick Ivan Borgen
Feb 18, 2010·The Breast : Official Journal of the European Society of Mastology·Francesco Sardanelli
Nov 10, 2009·Cirugía española·Benigno Acea Nebril
Apr 28, 2016·Journal of the American College of Surgeons·Rong TangBarbara L Smith
Nov 4, 2008·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·Jennifer ZakhirehLaura Esserman
Jan 31, 2012·The Breast Journal·Vijayashree Murthy, Ronald S Chamberlain
Apr 1, 2011·The Breast Journal·Markus NiemeyerMarion Kiechle
Nov 22, 2012·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Vijayashree Murthy, Ronald S Chamberlain
Jan 27, 2010·The British Journal of Surgery·J E RusbyG P H Gui
Apr 30, 2014·ANZ Journal of Surgery·Samriti SoodJames French
Aug 13, 2015·Chinese Medical Journal·Nai-Si Huang, Jiong Wu
Mar 23, 2010·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·Francesco SardanelliRobin Wilson
Jul 27, 2011·Orvosi hetilap·Zoltán MátraiMiklós Kásler
Mar 10, 2011·Aesthetic Surgery Journal·G Patrick MaxwellAllen Gabriel
Mar 18, 2015·Breast Cancer : the Journal of the Japanese Breast Cancer Society·Naomi SakamotoKazuei Hoshi
Jan 13, 2015·Virchows Archiv : an International Journal of Pathology·Dipti M KaramchandaniJulie Mack
Feb 2, 2013·Clinical Journal of Oncology Nursing·Laura Long
Jun 29, 2016·Annals of Surgical Oncology·Cory A DonovanFarin Amersi
Jul 14, 2016·Annals of Surgical Oncology·Tina J HiekenJill R Dietz
Dec 31, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Alyssa D Throckmorton, Laura J Esserman

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carcinoma, Ductal

Ductal carcinoma is a malignant neoplasm involving the ductal systems of any of a number of organs, such as the mammary glands, pancreas, prostate or lacrimal gland. Discover the latest research on ductal carcinoma here.

© 2021 Meta ULC. All rights reserved