Erschienen in:
14.08.2019 | ASO Author Reflections
ASO Author Reflections: A Call for Surgeon Experience and Surgical Radicality to Prevent Residual Breast Tissue After Skin- and Nipple-Sparing Mastectomy
verfasst von:
Bärbel Papassotiropoulos, MD, Uwe Güth, MD, Peter Dubsky, MD, Christoph Tausch, MD
Erschienen in:
Annals of Surgical Oncology
|
Sonderheft 3/2019
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Excerpt
Unlike conventional mastectomies, skin- and nipple-sparing mastectomies (SSM and NSM, respectively) aim to remove the entire breast tissue under concomitant preservation of the skin envelope and the inframammary fold, thereby enabling immediate breast reconstruction. Improved diagnostic procedures, rising numbers of risk-reducing mastectomies, and superior aesthetic results are some of the reasons why the frequency of SSM and NSM has been increasing continuously.
1 However, removing a maximum amount of breast tissue while achieving low residual breast tissue (RBT) rates and the best possible cosmetic result represents a major surgical challenge. In both oncologic and risk-reducing surgery, RBT can be considered a potential risk factor for breast cancer recurrence or increased breast cancer incidence. Thus, there was a need to investigate prospectively the radicality of SSM and NSM with regard to the presence of RBT or residual disease under the skin envelope. …