title: [Subcutaneous mastectomy and reconstruction].
abstract: A method for subcutaneous mastectomy and reconstruction is described. To the patients the results of this method are pleasing. A specific advantage of this method is, that only in 20, 15% of these cases in recent years, we used silicone prosthesis for augmentation. An analysis of 333 cases showed some frightening facts: in 9,26% an invasive carcinoma was found. Furthermore, in 4,44% a lobular carcinoma in situ was found. A preoperative diagnosis was made, only in four of these fourty patients. Therefore, it can be stated that - as reconstruction possibilities by plastic surgery standards are good - a generally restrictive point of view towards the indications to subcutaneous mastectomy should be given up.
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis; D002278:Carcinoma in Situ / Q000175:diagnosis; D005260:Female; D006801:Humans; D008408:Mastectomy / Q000379:methods* / Q000534:rehabilitation; D008875:Middle Aged; D012826:Silicone Elastomers; D013518:Surgery, Plastic; D013524:Surgical Flaps
chemical_list: D012826:Silicone Elastomers
vernacular_title: Subkutane Mastektomie und Rekonstruktion.