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Ann Plast Surg. 2003 Dec;51(6):547-51.

Areola-sparing mastectomy with immediate breast reconstruction.

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1
Department of Surgery, New York Presbyterian Hospital, Weill Medical College of Cornell University, and Weill Cornell Breast Center, 425 East 61st Street, 8th Floor, New York, NY 10021, USA. rms2002@med.cornell.edu

Abstract

Skin-sparing mastectomy with immediate breast reconstruction is a proved option for patients with early-stage breast cancer requiring mastectomy. Based on the authors' recent pathologic analysis of mastectomy specimens showing less than 1% malignant involvement of the areola, they have begun to perform areola-sparing mastectomies (ASMs) on a select group of patients. They report their results from an ongoing study of ASM at their institution. During a 20-month period, 17 ASMs with immediate reconstruction were performed on 12 patients. Mastectomy was performed for breast cancer prophylaxis (n = 10), ductal carcinoma in situ (n = 4), and less than 2 cm of peripheral infiltrating carcinoma (n = 3). The most frequent incision performed was intraareola (n = 13). Thirteen patients were reconstructed with tissue expanders and 4 with pedicled transverse rectus abdominis musculocutaneous flaps. There was 1 postoperative complication, which consisted of a localized wound infection. Overall the authors found that ASM with immediate reconstruction provides excellent aesthetic results with infrequent complications.

[Indexed for MEDLINE]

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