Skin sparing mastectomy and immediate breast reconstruction: A review

Abstract Aims Skin Sparing Mastectomy (SSM) is widely practised now in major centres which manage large numbers of breast cancer but anxiety still exists over the safety of SSM both from oncological and aesthetic points of view. We aim to review literature to date in SSM and summarise and discuss th...

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Bibliographic Details
Published in:European journal of surgical oncology 2013-04, Vol.39 (4), p.320-328
Main Authors: Agrawal, A, Sibbering, D.M, Courtney, C.-A
Format: Article
Language:English
Subjects:
Breast
Breast Implantation - methods
Breast Neoplasms - surgery
Breast Neoplasms - therapy
Combined Modality Therapy
Female
Hematology, Oncology and Palliative Medicine
Humans
Mammaplasty - methods
Mastectomy
Mastectomy - methods
Mastectomy, Subcutaneous
Neoplasm Recurrence, Local
Nipples
Oncoplastic
Reconstruction
Skin
Skin sparing
Surgery
Surgical Flaps
Survival Analysis
Treatment Outcome
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Summary:Abstract Aims Skin Sparing Mastectomy (SSM) is widely practised now in major centres which manage large numbers of breast cancer but anxiety still exists over the safety of SSM both from oncological and aesthetic points of view. We aim to review literature to date in SSM and summarise and discuss the current evidence. Methods Studies were identified by an online search of the English language literature in the PubMed database till April 2012 followed by an extensive review of bibliographies from relevant articles. Results There is abundance of evidence with regards to the safety of SSM both oncologically and aesthetically especially in immediate breast reconstruction. The use of SSM technique broadens the repertoire of oncoplastic techniques and at the same time facilitates such techniques by preserving patient's native skin and anatomical landmarks. Conclusions SSM is a safe technique providing better cosmetic outcome without compromising oncological safety as per the current evidence. However, prospective data collection of its application in various newer types of reconstructions, and continuing long-term follow-up of current data series would be prudent to evaluate long-term outcomes.
ISSN:0748-7983
1532-2157
DOI:10.1016/j.ejso.2012.12.015