Nipple-sparing mastectomy: an oncologic and cosmetic perspective

Christine Laronga; Paul Smith

doi:10.1016/j.soc.2014.03.013

Nipple-sparing mastectomy: an oncologic and cosmetic perspective

Surg Oncol Clin N Am. 2014 Jul;23(3):549-66. doi: 10.1016/j.soc.2014.03.013. Epub 2014 Apr 26.

Authors

Christine Laronga¹, Paul Smith²

Affiliations

¹ Comprehensive Breast Program, Department of Women's Oncology, Moffitt Cancer Center, 12902 Magnolia Drive, MCC BR-PROG, Tampa, FL 33612, USA; Department of Surgery, University of South Florida, 13220 USF Laurel Drive, Tampa, FL 33612, USA. Electronic address: Christine.laronga@moffitt.org.
² Department of Surgery, University of South Florida, 13220 USF Laurel Drive, Tampa, FL 33612, USA.

PMID: 24882350
DOI: 10.1016/j.soc.2014.03.013

Abstract

The guiding principles of nipple-sparing mastectomy (complete removal of the breast from its skin and reconstructing without changing the appearance of the breast) are based on patient safety followed by oncologic safety. Recent advances have also taken into account cosmetic outcome. The ultimate in cosmetic outcome after mastectomy with reconstruction includes preservation of the nipple-areola complex, called a nipple-sparing mastectomy. The evidence-based transition and transformation to nipple-sparing mastectomy from both an oncologic standpoint and a cosmetic perspective are outlined in this article.

Keywords: Cosmesis; Nipple-sparing mastectomy; Oncologic safety.

Publication types

Review

MeSH terms

Breast Neoplasms / surgery*
Cosmetic Techniques
Female
Humans
Mammaplasty
Mastectomy, Subcutaneous*
Nipples / surgery*
Surgical Flaps
Tissue Expansion