Nipple Sparing Mastectomy is Oncologically Safe

June 29th, 2015 @   -  No Comments
A new study determines that nipple sparing mastectomies are oncologically safe.  A nipple sparing mastectomy is not only technically more challenging than a standard skin sparing mastectomy but must also be oncologically safe.  In other words the surgical oncologist must address two concerns when performing a nipple sparing mastectomy:  the first is to ensure the residual glandular breast tissue will not give rise to a future cancer and the second is to make sure that the patient will have the best possible cosmetic outcome of breast reconstruction.
Lead author of the study, Lucy De La Cruz, MD, of the University of Miami, Florida, conducted a meta-analysis of 19 studies published between 2004-2015. Dr. De La Cruz found that the overall survival (OS) and disease-free survival (DFS) of patients who received a nipple-sparing mastectomy was similar to that of women who had more radical surgery.  With a nipple sparing mastectomy, overall survival was 96%, disease free survival was 93% and the rate of nipple areolar recurrence was 1.2%
The link to the study results can be found by click by clicking:
The important things to remember are:
  1. A Nipple Sparing Mastectomy is a technically challenging procedure.  It can be performed through an incision under the breast crease or under the areola at the border of the areola and normal skin. Incisions in either location blend in and are less obvious.
  2. I feel very strongly that an expert surgeon should be able to perform the Nipple Sparing Mastectomy without extending the incision onto the skin over the breast.  If your surgeon proposes to extend the incision beyond the infra-mammary crease or beyond the areolar border, seek a second opinion.
  3. Nipple-sparing mastectomy is the latest evolution in mastectomy technique. It The procedure preserves the entire skin envelope and nipple areola. Only the underlying breast tissue is removed. When combined with immediate breast reconstruction, nipple-sparing mastectomy provides superior cosmetic results without compromising cancer treatment.
  4. Appropriate candidates for a Nipple Sparing Mastectomy include patients seeking prophylactic mastectomy and patients who have a small cancer or disease located away from the nipple.
To learn if you are a nipple-sparing mastectomy candidate or to schedule a consultation, please contact my office 424-777-0939.  To see the results of a Nipple Sparing Mastectomies that I performed click the following link:

Tags: , , ,

Leave a Reply