title: Skin-sparing mastectomy with immediate breast reconstruction: a critical analysis of local recurrence.
abstract: OBJECTIVE
  The purpose of this study was to provide follow-up data regarding the incidence of local breast cancer recurrence in patients undergoing skin-sparing mastectomy versus conventional non-skin-sparing mastectomy methods.
  
  
  METHODS
  A retrospective follow-up study and analysis were performed of patients who underwent mastectomies for invasive breast cancer at The New York Presbyterian Hospital, Cornell University Medical College and Strang-Cornell Breast Center between 1990 and 1998.
  
  
  RESULTS
  A total of 198 patients were identified in this study, and the mean follow-up was 49 months. This group included 71 patients who underwent skin-sparing mastectomy and 127 who underwent non-skin-sparing mastectomy procedures. No statistical differences in local recurrence rates were demonstrated between patients treated with skin-sparing mastectomy and those who underwent non-skin-sparing mastectomy. Local recurrence was present in four of 71 (5.6%) patients undergoing skin-sparing mastectomy and in five of 127 (3.9%) of those undergoing non-skin-sparing mastectomy.
  
  
  CONCLUSIONS
  The use of skin-sparing mastectomy does not lead to an increase in local recurrence rates when compared with conventional non-sparing mastectomies and provides for improved aesthetic results after immediate reconstruction.
authors.affiliation: Department of Surgery, New York Presbyterian Hospital, Cornell University Medical College, USA.
authors.forename: D E
authors.initials: DE
authors.lastname: Rivadeneira
authors.forename: R M
authors.initials: RM
authors.lastname: Simmons
authors.forename: S K
authors.initials: SK
authors.lastname: Fish
authors.forename: L
authors.initials: L
authors.lastname: Gayle
authors.forename: G S
authors.initials: GS
authors.lastname: La Trenta
authors.forename: A
authors.initials: A
authors.lastname: Swistel
authors.forename: M P
authors.initials: MP
authors.lastname: Osborne
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000601:surgery*; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008408:Mastectomy / Q000379:methods*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local