Nipple-Sparing Mastectomy for Invasive Breast Cancer

Patients undergoing the procedure with immediate breast reconstruction had a low incidence of cancer recurrence at the nipple-areola complex.

According to U.S. guidelines, nipple-sparing mastectomy (NSM) with immediate breast reconstruction is an acceptable procedure for carefully selected patients. However, controversy remains regarding its safety for patients with breast cancer, as there are limited studies with long-term follow-up.

Now, investigators in the Republic of Korea have conducted a 7-year, single-institution, retrospective cohort study of 944 patients who underwent NSM with immediate breast reconstruction to identify the incidence, outcomes, and risk factors associated with cancer recurrence at the nipple-areola complex (NAC). Patients who had received neoadjuvant systemic therapy or palliative surgery were excluded. Frozen section of the tissue behind the nipple was …

Reviewing Author

Henry Mark Kuerer, MD, PhD, FACS

Disclosures

Speaker's BureauPhysicians’ Education Resource, LLC

RoyaltiesMcGraw-Hill Professional; UpToDate, Inc.

Editorial BoardsAnnals of Surgical Oncology

Leadership Positions in Professional SocietiesAmerican Society of Breast Surgeons (Chair, Publications Committee)