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01-08-2006

Necrotic Complications after Nipple- and Areola-Sparing Mastectomy

Authors: Andrzej L. Komorowski, MD, Vittorio Zanini, MD, Lea Regolo, MD, Adriana Carolei, MSc, Wojciech M. Wysocki, MD, Alberto Costa, MD

Published in: World Journal of Surgery | Issue 8/2006

Abstract

Objective

The objective was to analyze the frequency and factors influencing necrotic complication in female patients undergoing nipple- and areola-sparing mastectomy.

Summary and background data

Nipple- and areola-sparing mastectomy has recently been shown to yield satisfactory results in a carefully selected group of breast cancer patients. The technique includes extensive undermining of the nipple–areola complex, which may result in an increased rate of necrotic complications. We report our early experience with necrotic changes after nipple- and areola-sparing mastectomy.

Methods

The medical records of 38 patients undergoing nipple- and areola-sparing mastectomy were analyzed retrospectively.

Results

Mean age of the patient was 44.5 years (range 26–65). Necrotic complications occurred in 15.8% of patients and included: skin flap necrosis (1 case), partial nipple–areola complex necrosis (2 cases), and complete nipple–areola complex necrosis (3 cases). Two cases of capsular contraction were also recorded. Statistical analysis showed age below 45 years to be associated with a lower risk of necrotic complications (OR 4.51, P < 0.05).

Conclusions

The nipple- and areola-sparing mastectomy, although resulting in a relatively high frequency of necrotic complications, is a valuable surgical option for patients with small, peripheral tumors and for women undergoing prophylactic mastectomy. The procedure seems to be safer for women under 45 years of age.

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Title: Necrotic Complications after Nipple- and Areola-Sparing Mastectomy
Authors: Andrzej L. Komorowski, MD
Vittorio Zanini, MD
Lea Regolo, MD
Adriana Carolei, MSc
Wojciech M. Wysocki, MD
Alberto Costa, MD
Publication date: 01-08-2006
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 8/2006
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-005-0650-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Necrotic Complications after Nipple- and Areola-Sparing Mastectomy

Abstract

Objective

Summary and background data

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Summary and background data

Methods

Results

Conclusions

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