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2015 ; 4
(6
): 463-6
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Conservative mastectomies: an overview
#MMPMID26645000
Nava MB
; Rocco N
; Catanuto G
Gland Surg
2015[Dec]; 4
(6
): 463-6
PMID26645000
show ga
Conservative mastectomies provide removal of the entire breast parenchyma, saving
the outer covering of the mammary gland with the possibility of performing an
immediate reconstruction preserving women body image. We rationalised and
systematically organized our reconstructive algorythms giving a new different
light to mastectomies, the so-called "conservative mastectomies", an oxymoron
indicating skin-sparing mastectomies (SSM), nipple-areola complex-sparing
mastectomies (NSM) and skin-reducing mastectomies (SRM). Eventhough randomized
controlled trials comparing conservative mastectomies with traditional mastectomy
and breast conserving surgery would be auspicable in order to achieve higher
levels of evidence, we could confidently conclude that conservative mastectomies
offer the psychological advantages of good cosmesis and maintenance of woman body
image without compromising the oncological safety of mastectomy.