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Nipple-Sparing Mastectomy: To Spare Or Not To Spare?

Abstract

The use of nipple-sparing mastectomy for prophylactic and therapeutic purposes has increased in recent years primarily driven by patient desire for improved esthetics. This article aims to critically review indications, oncologic safety, and recent advances in operative techniques. Current strategies for minimizing complications of nipple-sparing mastectomy are discussed including incision choices, adjunct tactics, and our experience.

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Correspondence to James W. Jakub.

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Drs. Chiba, Jakub, and Hieken declare no conflicts of interest.

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Chiba, A., Jakub, J.W. & Hieken, T.J. Nipple-Sparing Mastectomy: To Spare Or Not To Spare?. Curr Surg Rep 4, 17 (2016). https://doi.org/10.1007/s40137-016-0138-1

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Keywords

  • Nipple-sparing mastectomy
  • Total skin-sparing mastectomy
  • NAC preservation
  • Breast cancer
  • Prophylactic mastectomy
  • Subcutaneous mastectomy
  • Local recurrence
  • Risk reduction
  • Inframammary
  • SPY