Nipple Skin Sparing Mastectomy: A Single Institution Experience

Abstract

INTRODUCTION: a retrospective analysis of treatment of breast cancer with use of techniques Oncoplastia Breast Clinic of the Mastology Santa Casa de Belo Horizonte with Preservation of Skin and nipple areola complex. MATERIALS AND METHODS: In six years were performed using various techniques Oncoplastia Breast, 326 surgeries to treat cancer Breast, besides the improvement, the combination of these techniques. among the techniques used were grouped into different groups according to criteria described attachment, those patients eligible to undergo surgical treatment with mastectomy areola complex preservation Nipple and / or skin. RESULTS: Period: 09/2005 to 07/2011. Total surgeries: 745. Surgeries CM: 633. PB: 326. OP NSSM: 72. Complications: 38% (absolute number *). Complications: 18% (* No relative - same patient). NSSM OP Follow-up: 75 months (mean 19 months). DISCUSSION: we used the period analyzed techniques Oncoplastic mammary tissue using autologous transposition of flaps, breast implants, as well as the improvement of themselves and in some innovative, suitable for the results oncoaestethics expected by the author and surprisingly enjoyable in terms of customers. Among these techniques, the best results were oncoaestethics obtained using the so-called Mastectomy Preserver Skin and NAC. CONCLUSIONS: Despite the still controversial question of the radical breast surgery for cancer treatment, which was observed in work was the total safety and reliability techniques preserving Skin and nipple areola complex.