| Abstract | Women who require or desire mastectomy for breast cancer one option should be immediate breast reconstruction. Skin-sparing mastectomy (SSM) describes the surgery that maximises breast skin and infra- mammary fold preservation, significantly improves the symmetry and natural appearance and a more satisfied patient. In multiple studies, SSM seems to be oncologically safe in patients undergoing mastectomy for invasive T1-T2 tumours, multicentric tumours, ductal carcinoma in situ or risk-reduction. However, the technique should be avoided in patients with inflammatory breast cancer or in those with extensive tumour involvement of the skin. SSM with nipple areola complex preservation appears to be oncologically safe, providing that the tumour is not close to the nipple and the retro-areolar tissue is free of tumour. Though adjuvant radiotherapy is not an absolute contraindication to SSM, it should be used with caution since it decreases the final cosmetic result. |
| Authors | Manuel Ramos Boyero
(Affiliation: Departamento de Cirugía. Unidad de Patología Mamaria. Hospital Universitario de Salamanca. Salamanca. España.)
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| Journal | Cirugía española
(Cir Esp)
Vol. 84
Issue 4
Pg. 181-7
(Oct 2008)
ISSN: 0009-739X Spain |
| Vernacular Title | La mastectomía ahorradora de piel como alternativa a la mastectomía estándar en el cáncer de mama. |
| PMID | 18928767
(Publication Type: English Abstract, Journal Article)
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