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2015 ; 4
(6
): 541-53
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Skin-sparing mastectomy
#MMPMID26645008
González EG
; Rancati AO
Gland Surg
2015[Dec]; 4
(6
): 541-53
PMID26645008
show ga
The surgical treatment of breast cancer has evolved rapidly in recent decades.
Conservative treatment was adopted in the late 1970s, with rates above 70%, and
this was followed by a period during which the indications for surgical
intervention were expanded to those patients at high risk for BRCA1, BRCA2
mutations, and also due to new staging standards and use of nuclear magnetic
resonance. This increase in the indications for mastectomy coincided with the
availability of immediate breast reconstruction as an oncologically safe and
important surgical procedure for prevention of sequelae. Immediate reconstruction
was first aimed at correcting the consequences of treatment, and almost
immediately, the challenge of the technique became the achievement of a
satisfactory breast appearance and shape, as well as normal consistency. The
skin-sparing mastectomy (SSM) in conservation first and nipple-areola complex
(NAC) later was a result of this shift that occurred from the early 1990s to the
present. The objective of this review is to present all these developments
specifically in relation to SSM and analyze our personal experience as well as
the experience of surgeons worldwide with an emphasis on the fundamental aspects,
indications, surgical technique, complications, oncological safety, and cosmetic
results of this procedure.