RT Book, Section
A1 Kato, Meredith
A1 Simmons, Rache M.
A2 Kuerer, Henry M.
SR Print(0)
ID 6415069
T1 Chapter 67. Nipple- and Areola-Sparing Mastectomy
T2 Kuerer's Breast Surgical Oncology
YR 2010
FD 2010
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-160178-8
LK accesssurgery.mhmedical.com/content.aspx?aid=6415069
RD 2024/04/18
AB It  is  hard  to  believe  that  we  are  only  a  generation  away  from  the  widespread  use  of  the  Halstead  radical  mastectomy.  Indeed,  breast  surgery,  as  in  other  areas  of  surgery,  has  moved  away  from  more  invasive  procedures  toward  minimally  invasive  techniques.  This,  coupled  with  the  desire  for  improved  cosmetic  outcomes,  has  been  the  driving  force  behind  innovation  in  breast  surgery  over  the  last  30  years.  The  success  of  the  skin-sparing  mastectomy  (SSM)  has  emboldened  surgeons  to  consider  procedures  that  preserve  the  nipple  and  areola  as  well.  Despite  the  fact  that  nipple  and  areola  reconstructions  generally  have  excellent  satisfaction  rates,  the  nipple  remains  the  cornerstone  of  breast  identity,  and  evidence  of  the  psychological  importance  of  the  nipple-areola  complex  (NAC)  abounds.1  Furthermore,  preserving  the  nipple  has  the  potential  to  salvage  nipple  sensation.  There  is  a  growing  body  of  evidence  on  nipple-sparing  (NSM)  and  areola-sparing  (ASM)  mastectomies.  Nevertheless,  the  topic  remains  controversial  amid  concerns  about  oncologic  safety,  and  there  is  consensus  for  neither  selection  criteria  nor  technique.