Necrotic Complications after Nipple‐ and Areola‐Sparing Mastectomy

Abstract

The nipple- and areola-sparing mastectomy, although resulting in a relatively high frequency of necrotic complications, is a valuable surgical option for patients with small, peripheral tumors and for women undergoing prophylactic mastectomy. The procedure seems to be safer for women under 45 years of age.

The effect of incision choice on outcomes of nipple-sparing mastectomy reconstruction

“…RESULTS: Thirty-seven breast procedures performed on 20 patients were included in the present study. Periareolar incisions were used in 21 issue primaire était l'incidence de nécrose du mamelon associée à une incision périaréolaire, latérale ou inframammaire. Les issues secondaires étaient les effets de la radiation, de la chimiothérapie et de la dimension du sein sur la nécrose du mamelon.…”

“…approach ranges between 2% and 67% (9,13,(16)(17)(18)(19)(20)(21)(22). A potential rationale for the wide divergence in the nipple necrosis outcomes stems from the variability in surgical methodology; in some cases, outcomes with both autologous and expander implant-based reconstructions were combined.…”

The current pattern of reconstructive surgery for breast cancer

“…Некоторые авторы предполагают, что сопутствую-щие заболевания могут являться факторами, повыша-ющими риск развития осложнений [22,50,54]. A. L. Komorowski и соавт.…”

“…A. L. Komorowski и соавт. [54], проанализировав эти факторы, пришли к выводу, что возраст пациентов моложе 45 лет обусловливает снижение риска разви-тия некротических осложнений. В свою очередь, А. М. Munhoz в своем исследовании [50] не наблюдал связи между возрастом больных и развитием некроза САК.…”

Nipple-sparing mastectomy in breast cancer patients: The role of adjuvant radiotherapy (Review)

“…In addition, there are two critical points to consider: 21 of the identified studies included high-risk patients with ≥T3 tumors and/or lymph node involvement of ≥4 positive lymph nodes, and did not comment on adjuvant RT (5,20,21,27,33,38,40,47). For advanced TN stages, several recent national guidelines have recommended external beam RT to the whole thoracic wall, with or without irradiation of the lymphatic drainage system (44)(45)(46).…”