Analysis of nipple/areolar involvement with mastectomy: can the areola be preserved?

Skin-sparing mastectomy (SSM), which involves the resection of the nipple/areolar complex with the breast parenchyma, improves the aesthetic outcome for breast cancer patients. Most patients undergoing SSM desire reconstruction of the nipple/areolar complex for symmetry. These data explore the possi...

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Bibliographic Details
Published in:Annals of surgical oncology 2002-03, Vol.9 (2), p.165-168
Main Authors: Simmons, Rache M, Brennan, Meghan, Christos, Paul, King, Valencia, Osborne, Michael
Format: Article
Language:English
Subjects:
Breast Neoplasms - pathology
Breast Neoplasms - surgery
Female
Humans
Lymphatic Metastasis
Mammaplasty
Mastectomy - methods
Neoplasm Invasiveness
Neoplasm Staging
Nipples - pathology
Nipples - surgery
Prognosis
Retrospective Studies
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Summary:Skin-sparing mastectomy (SSM), which involves the resection of the nipple/areolar complex with the breast parenchyma, improves the aesthetic outcome for breast cancer patients. Most patients undergoing SSM desire reconstruction of the nipple/areolar complex for symmetry. These data explore the possibility of preserving the areola in selected mastectomy patients. A retrospective analysis of 217 mastectomy patients was conducted to determine the frequency of malignant nipple and/or areola involvement. The association between nipple and/or areola involvement and prognostic factors, including tumor size, stage, nuclear grade, axillary nodal status, and tumor location, was evaluated. The overall frequency of malignant nipple involvement was 23 of 217 (10.6%). In a subgroup of patients with tumors
ISSN:1068-9265
1534-4681
DOI:10.1007/BF02557369