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Breast. 2008 Feb;17(1):8-11. Epub 2007 Sep 17.

Nipple sparing mastectomy: an innovative skin incision for an alternative approach.

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  • 1Breast Unit, Maugeri Foundation, Via Maugeri 4, 27100 Pavia, Italy.


Choice of the most appropriate surgical treatment for breast cancer patients can also be a technical issue. Cosmetic results after conservative surgery can be poor in certain instances and, at the same time, total mastectomy can appear as an over-treatment. For some selected patients, the "nipple sparing mastectomy" (NSM) is an alternative surgical treatment and more and more papers on this technique are appearing in the literature. One hundred and two NSMs have been performed in our department between June 2003 and October 2006, initially via periareolar skin incision, now through a skin incision on the lateral aspect of the breast to reduce the necrotic risk for the nipple. The lateral skin incision saves the integrity of skin blood supply, allows for a complete breast gland removal and saves the integrity of the body image of women who show no scars when seen upfront.

[PubMed - indexed for MEDLINE]
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