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The Evolution of Nipple-Sparing Mastectomy (NSM)

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Operative Approaches to Nipple-Sparing Mastectomy

Abstract

The evolution of the management of all aspects of breast cancer is breathtaking. We have evolved from more radical treatments to less extensive and personalized treatments with vastly improved outcomes.

The surgical management of breast cancer has also evolved dramatically over the decades from the disfiguring Halsted radical mastectomy to breast conservation, and now nipple-sparing mastectomy (NSM).

The nipple–areolar complex (NAC) defines the breast, and it makes a breast a breast. Historically, the standard of care was to discard the NAC because of possible involvement with cancer, a site for possible recurrent cancer, and the fear that we could not keep the NAC alive because of thinly created mastectomy skin flaps. The psychological benefits of restructuring or preserving the NAC have been clearly demonstrated.

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Author information

Authors and Affiliations

  1. Center For Cancer Prevention and Treatment, St. Joseph Hospital, Orange, CA, USA

    Jay K. Harness M.D., F.A.C.S. (Clinical Professor of Surgery)

  2. Department of Surgery, University of California Irvine Medical Center, Orange, CA, USA

    Jay K. Harness M.D., F.A.C.S. (Clinical Professor of Surgery)

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  1. Jay K. Harness M.D., F.A.C.S.
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Correspondence to Jay K. Harness M.D., F.A.C.S. .

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Editors and Affiliations

  1. Center for Cancer Prevention and TreatmentSt, Joseph Hospital, Orange, California, USA

    Jay K. Harness

  2. Professor of Clinical Surgery Director, MedStar Regional Breast Health Program, Vice-Chair, Department of Surgery MedStar Georgetown University Hospital, Washington, District of Columbia, USA

    Shawna C. Willey

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Harness, J.K. (2017). The Evolution of Nipple-Sparing Mastectomy (NSM). In: Harness, J., Willey, S. (eds) Operative Approaches to Nipple-Sparing Mastectomy. Springer, Cham. https://doi.org/10.1007/978-3-319-43259-5_1

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  • DOI: https://doi.org/10.1007/978-3-319-43259-5_1

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