Nipple-sparing rnastectomy (NSM) combines a skin-sparing mastectorny with preservation of the Nipple Areola Complex (NACÕ). intraoperative pathological assessment of the nipple tissue Core, and immediate reconstruction, thereby permitting better cosmesis for patients undergoing total mastectomy. Radiothcrapy of the NAC was carried out in every single patient after surgery. The procedure was first performed on selected patients following a clinical research protocol. From January 2003 to June 2004, 10 patients underwent nippLe sparing mastectomy followed by reconstruction (4 of them decided also to undergo a prophylactic mastectomy on the other breast) at the Breast Unit, Policlinico Monteluce, Perugia, Italy. Patients had been accuratey selected before the operation following some criteria previously accessed by a team of specialists including the breast surgeon, the oncological physician, the radiotherapist and the plastic surgeon. Histology of the 10 NSMs confirmed invasive carcinoma in 3 cases and in siw carcinoma in the remainder. Superficial necrosis of the NAC that settled down spontanously without consequences occurred in 2 cases: loss of sensitivity of the NAC in 4 patients: I patient developed haematoma. No asymmetry was reported. All women were clear of cancer after the treatment. Nipple- sparing mastectomy is the procedure of choice on selected patients.
Nipple-sparing mastectomy. Preliminary results / Bistoni, Giovanni; Rulli, A; Izzo, Luciano; Noya, G; Alfano, Carmine; Barberini, Fabrizio. - In: JOURNAL OF EXPERIMENTAL & CLINICAL CANCER RESEARCH. - ISSN 0392-9078. - STAMPA. - 25(4):(2006), pp. 495-497.
Nipple-sparing mastectomy. Preliminary results.
BISTONI, GIOVANNI;IZZO, Luciano;ALFANO, Carmine;BARBERINI, Fabrizio
2006
Abstract
Nipple-sparing rnastectomy (NSM) combines a skin-sparing mastectorny with preservation of the Nipple Areola Complex (NACÕ). intraoperative pathological assessment of the nipple tissue Core, and immediate reconstruction, thereby permitting better cosmesis for patients undergoing total mastectomy. Radiothcrapy of the NAC was carried out in every single patient after surgery. The procedure was first performed on selected patients following a clinical research protocol. From January 2003 to June 2004, 10 patients underwent nippLe sparing mastectomy followed by reconstruction (4 of them decided also to undergo a prophylactic mastectomy on the other breast) at the Breast Unit, Policlinico Monteluce, Perugia, Italy. Patients had been accuratey selected before the operation following some criteria previously accessed by a team of specialists including the breast surgeon, the oncological physician, the radiotherapist and the plastic surgeon. Histology of the 10 NSMs confirmed invasive carcinoma in 3 cases and in siw carcinoma in the remainder. Superficial necrosis of the NAC that settled down spontanously without consequences occurred in 2 cases: loss of sensitivity of the NAC in 4 patients: I patient developed haematoma. No asymmetry was reported. All women were clear of cancer after the treatment. Nipple- sparing mastectomy is the procedure of choice on selected patients.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.