Naslov
Skin and nipple-areola complex sparing mastectomy (SNSM) in breats cancer patients – 15 years experience

Autori
Stanec, Zdenko ; Žic, Rado ; Budi, Srećko ; Stanec, Sanda ; Milanović, Rudolf ; Vlajčić, Zlatko ; Roje, Željka ; Rudman, Franjo ; Martić, Krešimir ; Held, Rebeka ; Gorjanc, Božo

Izvornik
Annals of plastic surgery (0148-7043) 73 (2014), 5; 485-491

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
nipple; NAC preservation; nipple areola complex sparing mastectomy; skin sparing mastectomy; immediate breast reconstruction; primary breast reconstruction; breast cancer recurrence

Sažetak
Skin and nipple-areola complex sparing mastectomy (SNSM) and primary reconstruction has been popular for breast cancer treatment in the last decade. An advantage of the SNSM technique is the removal of all breast tissue as a radical surgical procedure with preserving native breast integrity, nipple-areola complex (NAC) and submammary fold. This retrospective 15 years clinical study analyze medical records from our breast surgery database collected at our Department between 1997 and 2012. A total number of 3757 patients were treated for breast cancer. 411 (10.9%) patients had a skin-sparing mastectomy with the median (range) length follow-up of 63 months. This is the longest follow-up for SNSM in breast cancer patients. 3.7% of patients, who underwent SNSM developed disease local recurrence, occult NAC involvement with cancer occurred in 7.7%, local recurrence in the NAC in 1.2 %. Partial necrosis of the NAC developed in 9.4% and total necrosis in 0.7% of operated breasts. All of disease recurrences occurred in the first 10 years of the follow-up period. Local recurrence developed as first recurrence event have longer median cancer-specific survival time of 70 months than those with only distant metastases with 50 months and locoregional plus distant metastases with 35.5 months. The "Omega" pattern incision combines an oncological radical procedure with a lower incidence of skin flap necrosis. Patients reconstructed with autologous tissue were the group most satisfied. SNSM is an oncological safe procedure for breast cancer treatment with low recurrence in properly selected patients.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA