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Surgical Anatomy of the Breast: Key Points for Mini-Invasive Video Assisted Approach

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Nipple Sparing Mastectomy
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Abstract

The female mature breasts are rounded protuberances on either side of the anterior chest wall (Fig. 2.1). The mammary glands are present in rudimentary form in prepubertal girls, boys, and adult males. The shape and size of the breast depend on genetic factors, age, diet, parity, and menopausal of the woman. The typical shape of the breast is oval and hemispherical, with the long axis diagonally placed over the chest. However in some women, the breast may be described conical, pendulous, piriform, thinned, or flattened. The mature adult breast is composed of between 15 and 25 grossly defined lobes, each emptying into a separate major duct, terminating in the nipple. These anatomic subdivisions may be appreciated after injection of the duct system with visible or radiopaque dye. The internal mammary artery is the principal arterial supply to the breast, catering its central and medial portion. The lateral thoracic artery supplies the upper and outer portions of the breast.

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References

  1. Prendergast PM, Shiffman MA (2011) Esthetic medicine. Springer Berlin Heidelberg New York

    Google Scholar 

  2. Sacchini V, Pinotti JA, Barros ACSD et al (2006) Nipple-sparing mastectomy for breast cancer and risk reduction: oncologic or technical problem? J Am Coll of Surg. 203(5):704–714

    Article  Google Scholar 

  3. Chung AP, Sacchini V (2008) Nipple-sparing mastectomy: where are we now? Surg Onc. 17(4):261–266

    Article  Google Scholar 

  4. Paepke S, Schmid R, Fleckner S et al (2009) Subcutaneous mastectomy with conservation of the nipple-areola skin: broadening the indications. Ann Surg 250(2):288–292

    Article  PubMed  Google Scholar 

  5. Niemeyer M, Paepke S, Schmid R, Plattner B, Müller D, Kiechle M (2011) Extended indications for nipple-sparing mastectomy. Breast J. 17(3):296–299

    Article  PubMed  Google Scholar 

  6. Wijayanayagam A, Kumar AS, Foster RD, Esserman LJ (2008) Optimizing the total skin-sparing mastectomy. Arch Surg 143(1):38–45

    Article  PubMed  Google Scholar 

  7. Petit JY, Veronesi U, Orecchia R et al (2006) Nipple-sparing mastectomy in association with intra operative radiotherapy (ELIOT): a new type of mastectomy for breast cancer treatment. Breast Cancer Res Treat 96(1):47–51

    Article  PubMed  Google Scholar 

  8. Sookhan N, Boughey JC, Walsh MF, Degnim AC (2008) Nipple-sparing mastectomy—initial experience at a tertiary center. Am J Surg 196(4):575–577

    Article  PubMed  Google Scholar 

  9. Crowe JP Jr, Gordon NH, Antunez AR, Shenk RR, Hubay A, Shuck JM (1991) Local-regional breast cancer recurrence following mastectomy. Arch Surg 126(4):429–432

    Article  PubMed  Google Scholar 

  10. Rusby JE, Smith BL, Gui GPH (2010) Nipple-sparing mastectomy. Br J Surg 97(3):305–316

    Article  PubMed  CAS  Google Scholar 

  11. Gerber B, Krause A, Reimer T et al (2003) Skin-sparing mastectomy with conservation of the nipple-areola complex and autologous reconstruction is an oncologically safe procedure. Ann Surg 238:120–127

    Google Scholar 

  12. Jabor MA, Shayani P, Collins DR Jr et al (2002) Nipple-areola reconstruction: satisfaction and clinical determinants. Plast Reconstr Surg 110:457–463

    Google Scholar 

  13. Cense HA, Rutgers EJ Th, Cardozo ML, Van Lanschot JJB (2001) Nipple-sparing mastectomy in breast cancer: a viable option? Eur J Surg Oncol 27:521–526

    Google Scholar 

  14. Simmons RM, Brennan M, Christos P et al (2002) Analysis of nipple/areolar involvement with mastectomy: can the areola be preserved? Ann Surg Oncol 9:165–168

    Google Scholar 

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Ferrari, A., Sgarella, A., Zonta, S., Lucioni, M. (2013). Surgical Anatomy of the Breast: Key Points for Mini-Invasive Video Assisted Approach. In: Ferrari, A., Sgarella, A., Zonta, S. (eds) Nipple Sparing Mastectomy. Springer, Milano. https://doi.org/10.1007/978-88-470-5334-2_2

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  • DOI: https://doi.org/10.1007/978-88-470-5334-2_2

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  • Publisher Name: Springer, Milano

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