title: Extended indications for nipple-sparing mastectomy.
abstract: Ablative breast cancer surgery still includes the routine excision of the nipple-areola complex (NAC). Nipple-sparing mastectomy (NSM) removes the breast tissue leaving no or little retroareolar ductal tissue but preserves the entire skin of the breast and the NAC. There is some consensus that NSM might be an oncologically safe option for patients with small and peripherally located tumors and probably for high-risk patients with prophylactic mastectomy. Several studies demonstrated that NSM may be feasible even in patients with large centrally located tumors or multicentric invasive carcinoma. So far, no generally applicable indications for NSM have been defined because long-term data are still limited. However, from our review of the literature obtained from a MEDLINE search (2003-2009) we conclude that the range of indications for NSM needs not to be limited to small peripheral tumors or to prophylactic treatment.
authors: Department of Gynecology, Technische Universität München, Klinikumrechts der Isar, Ismaninger Strasse 22, Munich, Germany. markus.niemeyer@gmx.net
authors: Markus
authors: M
authors: Niemeyer
authors: Stefan
authors: S
authors: Paepke
authors: Rainer
authors: R
authors: Schmid
authors: Birgit
authors: B
authors: Plattner
authors: Daniel
authors: D
authors: Müller
authors: Marion
authors: M
authors: Kiechle
mesh_terms: D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D015414:Mastectomy, Subcutaneous; D009364:Neoplasm Recurrence, Local / Q000517:prevention & control