World Journal of Surgery

, Volume 30, Issue 8, pp 1410–1413

Necrotic Complications after Nipple- and Areola-Sparing Mastectomy

Authors

    • Department of Surgical OncologyMaria Skłodowska-Curie Memorial Institute of Oncology, Cancer Centre
    • Department of Surgical OncologyMaria Skłodowska-Curie Memorial Institute of Oncology, Cancer Centre
  • Vittorio Zanini
    • Department of Breast and Reconstructive SurgeryFondazione Salvatore Maugeri
  • Lea Regolo
    • Department of Breast and Reconstructive SurgeryFondazione Salvatore Maugeri
  • Adriana Carolei
    • Department of Applied Health SciencesPavia University
  • Wojciech M. Wysocki
    • Department of Surgical OncologyMaria Skłodowska-Curie Memorial Institute of Oncology, Cancer Centre
  • Alberto Costa
    • Department of Breast and Reconstructive SurgeryFondazione Salvatore Maugeri
Article

DOI: 10.1007/s00268-005-0650-4

Cite this article as:
Komorowski, A.L., Zanini, V., Regolo, L. et al. World J. Surg. (2006) 30: 1410. doi:10.1007/s00268-005-0650-4

Abstract

Objective

The objective was to analyze the frequency and factors influencing necrotic complication in female patients undergoing nipple- and areola-sparing mastectomy.

Summary and background data

Nipple- and areola-sparing mastectomy has recently been shown to yield satisfactory results in a carefully selected group of breast cancer patients. The technique includes extensive undermining of the nipple–areola complex, which may result in an increased rate of necrotic complications. We report our early experience with necrotic changes after nipple- and areola-sparing mastectomy.

Methods

The medical records of 38 patients undergoing nipple- and areola-sparing mastectomy were analyzed retrospectively.

Results

Mean age of the patient was 44.5 years (range 26–65). Necrotic complications occurred in 15.8% of patients and included: skin flap necrosis (1 case), partial nipple–areola complex necrosis (2 cases), and complete nipple–areola complex necrosis (3 cases). Two cases of capsular contraction were also recorded. Statistical analysis showed age below 45 years to be associated with a lower risk of necrotic complications (OR 4.51, P < 0.05).

Conclusions

The nipple- and areola-sparing mastectomy, although resulting in a relatively high frequency of necrotic complications, is a valuable surgical option for patients with small, peripheral tumors and for women undergoing prophylactic mastectomy. The procedure seems to be safer for women under 45 years of age.

Copyright information

© Société Internationale de Chirurgie 2006