Patient Selection and Technical Considerations in Nipple-Sparing and Areola-Sparing Mastectomy
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Max Dieterich & Bernd Gerber
- چاپ و سال / کشور: 2011
Description
Skin-sparing (SSM) and nipple-sparing mastectomy (NSM) have gained widespread popularity over the past few years. Breast reconstruction is facilitated and the aesthetic result is improved in comparison to patients undergoing mastectomy alone. The oncologic safety has been demonstrated in various publications. However, discussions still arise regarding correct patient selection and the role of histologic assessment of the subareolar tissue of the nipple areola complex (NAC) to exclude possible tumor infiltration, as this is the main limiting factor of NSM. This review focuses on oncologic consideration, correct patient selection, and surgical management for patients eligible for SSM/NSM. The most recent literature was reviewed to provide evidenced-based recommendations for daily clinical routine.
Curr Breast Cancer Rep (2011) 3:79–87 DOI 10.1007/s12609-011-0039-3 Published online: 22 February 2011
