Retrospective Comparison of Non-skin-sparing Mastectomy and Skin-sparing Mastectomy with Immediate Breast Reconstruction

Overview

Journal Int J Surg Oncol

Publisher Wiley

Specialties General Surgery
Oncology

Date 2012 Feb 8

PMID 22312528

Citations 9

Authors

Satoki Kinoshita

Kimihiro Nojima

Meisei Takeishi

Yoshimi Imawari

Shigeya Kyoda

Akio Hirano

Tadashi Akiba

Susumu Kobayashi

Hiroshi Takeyama

Ken Uchida

Toshiaki Morikawa

Affiliations

Soon will be listed here.

Abstract

Background. We compared Skin-sparing mastectomy (SSM) with immediate breast reconstruction and Non-skin-sparing mastectomy (NSSM), various types of incision in SSM. Method. Records of 202 consecutive breast cancer patients were reviewed retrospectively. Also in the SSM, three types of skin incision were used. Type A was a periareolar incision with a lateral extension, type B was a periareolar incision and axillary incision, and type C included straight incisions, a small elliptical incision (base line of nipple) within areolar complex and axillary incision. Results. Seventy-three SSMs and 129 NSSMs were performed. The mean follow-up was 30.0 (SSM) and 41.1 (NSSM) months. Respective values for the two groups were: mean age 47.0 and 57; seven-year cumulative local disease-free survival 92.1% and 95.2%; post operative skin necrosis 4.1% and 3.1%. In the SSM, average areolar diameter in type A & B was 35.4 mm, 43.0 mm in type C and postoperative nipple-areolar plasty was performed 61% in type A & B, 17% in type C, respectively. Conclusion. SSM for early breast cancer is associated with low morbidity and oncological safety that are as good as those of NSSM. Also in SSM, Type C is far superior as regards cost and cosmetic outcomes.

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