title: Mastectomy and breast reconstruction preserving the nipple.
abstract: Total mastectomy and immediate reconstruction using the latissimus dorsi myocutaneous flap with nipple preservation has been performed in 87 women. The palpable tumours were all more than 3 cm from the nipple. No recurrence in the preserved nipple was seen in 63 women who underwent the procedure for tumour recurrence after previous radiotherapy. Nipple recurrence occurred in 3 out of 24 women (12%) where the indication was multifocal disease and no radiotherapy was given. This non-irradiated group should either not have the nipple preserved or should undergo postoperative electron field therapy to the nipple-areolar complex.
authors.affiliation: St Helier Hospital, Carshalton, Surrey.
authors.forename: C C
authors.initials: CC
authors.lastname: Bishop
authors.forename: S
authors.initials: S
authors.lastname: Singh
authors.forename: A G
authors.initials: AG
authors.lastname: Nash
mesh_terms: D000328:Adult; D001940:Breast / Q000601:surgery*; D001943:Breast Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D002277:Carcinoma / Q000601:surgery; D002285:Carcinoma, Intraductal, Noninfiltrating / Q000601:surgery; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D015413:Mastectomy, Simple; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D009558:Nipples / Q000601:surgery*; D019736:Prostheses and Implants; D012828:Silicones; D013524:Surgical Flaps / Q000379:methods*
chemical_list: D012828:Silicones