TY - CHAP M1 - Book, Section TI - Chapter 66. Skin-Sparing Mastectomy A1 - Boughey, Judy C. A1 - Rosenkranz, Kari M. A2 - Kuerer, Henry M. Y1 - 2010 N1 - T2 - Kuerer's Breast Surgical Oncology AB - Women with breast cancer and those who are at increased risk of developing breast cancer may consider mastectomy as an option for treatment or a step toward risk reduction. Historically, mastectomy in the absence of breast reconstruction was associated with a significant change in body image. For this reason, breast-conservation therapy emerged as an oncologically safe and emotionally less impacting option for the surgical treatment of breast cancer. Following the reporting of pivotal trials from Milan and the National Surgical Adjuvant Breast and Bowel Project (NSABP) in the 1970s and 1980s, breast-conservation rates rose dramatically. In recent years, however, mastectomy rates are increasing. This is thought to be at least in part due to improvements in cosmetic outcomes after mastectomy. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/29 UR - accesssurgery.mhmedical.com/content.aspx?aid=6414990 ER -