title: A single institution experience with skin sparing mastectomy and immediate breast reconstruction.
abstract: BACKGROUND
  Skin sparing mastectomies (SSMs) represent a surgical approach that preserves the natural skin envelope of the breast and, when combined with immediate reconstruction, offers a good cosmetic outcome. The aim of this retrospective study was to compare the risk of local recurrence (LR) in this series with the known rate of recurrence following a conventional mastectomy.
  
  
  METHODS
  A total of 108 patients with breast cancer who underwent an SSM and immediate breast reconstruction over a 6-year period were reviewed.
  
  
  RESULTS
  A follow-up of more than eight years showed that three patients (2.78%) had developed LR.
  
  
  CONCLUSIONS
  The rate of LR is low with SSMs and is comparable to that seen with conventional mastectomies.
authors.affiliation: Department of General Surgery, Princess Royal university Hospital, Farnborough, UK. sdoddi@nhs.net
authors.forename: S
authors.initials: S
authors.lastname: Doddi
authors.forename: T
authors.initials: T
authors.lastname: Singhal
authors.forename: A
authors.initials: A
authors.lastname: Kasem
authors.forename: A
authors.initials: A
authors.lastname: Desai
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery*; D018270:Carcinoma, Ductal, Breast / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008207:Lymphatic Metastasis; D016462:Mammaplasty / Q000379:methods*; D008408:Mastectomy / Q000379:methods*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000188:drug therapy / Q000209:etiology* / Q000532:radiotherapy; D012307:Risk Factors; D013524:Surgical Flaps; D016896:Treatment Outcome