Abstract
In a retrospective study, we investigated the reasons why women accepted to undergo a nipple sparing mastectomy (NSM) and why women who could not keep their nipple areola complex (NAC) decided to reconstruct it. We intended to investigate whether keeping the NAC plays a psychological role, to state possible advantages of NSM. Between 2004 and 2006, 310 women with NAC sparing and 143 patients with successive NAC reconstruction were mailed a single open-ended question at follow-up 12 months after final breast reconstruction surgery or final NAC reconstruction with tattoo. The purpose was to explore personal motivations that drove women to accept NSM or to perform a NAC tattoo reconstruction. Responses were classified into 11 categories by five reviewers. We performed an analysis of the relative frequency of emerging issues. Socio-demographic and clinical data were collected. Among the patients who responded to the open-ended question, 190 patients preserved their NAC, and 100 patients received postponed NAC reconstruction. Women in the NSM group were significantly younger (P = 0.02), more highly educated (P < 0.0001), and more frequently lived in Northern Italy (P = 0.03). The reasons for accepting NSM were more frequently relate...Continue Reading
References
Mar 1, 1991·CA: a Cancer Journal for Clinicians·L R Schover
Nov 1, 1987·Plastic and Reconstructive Surgery·D K WellischJ W Little
Aug 1, 1985·Seminars in Oncology Nursing·W S Schain
Apr 15, 1985·Cancer·B L Andersen
Jan 1, 1995·Cancer·L R SchoverR V Dowden
Feb 15, 1994·Cancer·W S SchainL J Pierce
Nov 11, 1999·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·S K Al-GhazalR W Blamey
Mar 16, 2000·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·S K Al-GhazalR W Blamey
Sep 23, 2000·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·S K Al-GhazalR W Blamey
Nov 2, 2005·Breast Cancer Research and Treatment·Jean Yves PetitChiara Casadio
Dec 13, 2005·ANZ Journal of Surgery·Maria Teresa NanoHelen R Winefield
Nov 7, 2006·Journal of the American College of Surgeons·Virgilio SacchiniPatrick I Borgen
Jun 19, 2007·Annals of Surgical Oncology·Patricia A ParkerGeoff L Robb
Sep 29, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Ambar BanerjeeNirjhar Bhattacharya
Feb 23, 2008·Surgery·Satsuki UedaShinzaburo Noguchi
May 6, 2008·Surgical Oncology·Alice P Chung, Virgilio Sacchini
Nov 13, 2008·Breast Cancer Research and Treatment·F DidierJ Y Petit
Jan 27, 2010·The British Journal of Surgery·J E RusbyG P H Gui
Mar 3, 2010·Plastic and Reconstructive Surgery·Risal DjohanRandall Yetman
Nov 3, 2010·Plastic and Reconstructive Surgery·Marzia SalgarelloLiliana Barone-Adesi
Oct 26, 2011·Nature Reviews. Clinical Oncology·Jean-Yves PetitMario Rietjens
Citations
Jul 28, 2013·Updates in Surgery·Antonio TancrediRoberto Murgo
Dec 10, 2013·Annals of Plastic Surgery·Anne Warren PeledHani Sbitany
Feb 15, 2014·Annals of Surgical Oncology·Heather L BaltzerJohn L Semple
Feb 13, 2016·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·A SistiG Nisi
Oct 20, 2012·The Breast : Official Journal of the European Society of Mastology·Charalambos A GeorgiouBérengère Chignon-Sicard
Dec 2, 2014·The Breast : Official Journal of the European Society of Mastology·Lena Carstensen, Janne Bigaard
Jun 16, 2015·Annals of Plastic Surgery·Victorien M T van VerschuerLinetta B Koppert
Jul 27, 2017·Plastic and Reconstructive Surgery·Christopher R BaileyGedge D Rosson
Jul 3, 2018·Journal of breast cancer·Tai Suk RohYoung Seok Kim
Jan 18, 2020·Tissue Engineering. Part a·Nicholas C PashosBruce A Bunnell
Sep 25, 2020·Aesthetic Plastic Surgery·Jacob B HammondAlanna M Rebecca
Apr 22, 2021·Patient Preference and Adherence·Nick SpindlerStefan Langer
May 19, 2021·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·A GilmourL Martin
Aug 31, 2019·Annals of Surgery·Katherine B SantosaJeffrey H Kozlow
Jul 25, 2021·Scientific Reports·Vincent C CaronnaNicholas C Pashos
Oct 8, 2021·Advanced Healthcare Materials·Sarah Van BelleghemJohn P Fisher