1. Effectiveness of the Nipples-Saving Mastectomy (NSM): Review on the Results, Oncologic Safety and Surgical Complications
- Author
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Domenico Parmeggiani, Mallitti C, Lanza Volpe M, Parisi S, Rinaldi S, Nesta G, Gualtieri G, Fiorentino F, Terracciano GM, Bottino V, Ruggiero R, Docimo L, Parmeggiani, D, Mallitti, C, Lanza Volpe, M, Parisi, S, Rinaldi, S, Nesta, G, Gualtieri, G, Fiorentino, F, Terracciano, Gm, Bottino, V, Ruggiero, R, and Docimo, L
- Subjects
medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,BRCA mutation ,Mammary gland ,Prophylactic Mastectomy ,medicine.disease ,Surgery ,Mammary carcinoma ,medicine.anatomical_structure ,Breast cancer ,Curative treatment ,Breast cancer nipples-saving mastectomy oncologic risk BRCA mutation ,Medicine ,In patient ,business ,Mastectomy - Abstract
Background: The nipples-saving mastectomy (NSM), most recent technique, allows the whole mammary gland removal preserving the nipple-areola compound (NAC), obtaining oncologic safe results. When indicated, NSM is validated by the great aesthetic results obtained. Objectives: The objective of this review is the evaluation of the effectiveness and oncologic safety of the nipple-saving mastectomy, marking the most frequent complications. Moreover, the possibility to use the NSM procedure as prophylactic mastectomy in patients at high risk has been evaluated. Research Methods: A bibliographic research about clinical studies and previous reviews related to nipplessaving mastectomy has been conducted. No limitation about language was performed. Results: The study included 12 articles, for a total of 2859 patients and 3849 NSM. Patients candidate to NSM, either as a prophylactic or curative treatment of mammary carcinoma, must undergo a careful selection screening. Most frequently occurring surgery-related complications were necrosis and infections; though not altering the cosmetic results, that have been positively evaluated in almost all patients. Conclusion: Preservation of the areola-nipple compound seems to be oncologically safe and does not increase local recurrences, compared to the previous techniques. Moreover, it is associated with better aesthetic results and patients’ higher satisfaction.
- Published
- 2020