Status and Controversy on SkinSparing Mastectomy for Breast Cancer_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

GUO Meiqin , JIANG Jun.

Breast Disease Center, Southwest Hospital, The Third Military Medical University, Chongqing 400038, China;

Corresponding author：

Keywords：

Skin-sparing mastectomy Breast cancer

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【Abstract】ObjectiveTo review the status and controversy on skinsparing mastectomy (SSM) for breast cancer.
MethodsThe pertinent literatures about SSM published recently to comprehend its relevant techniques and improvements in comparison with nonskinsparing mastectomy (NSSM) were analyzed and also the safety of SSM by analyzing the relationships between SSM and ductal carcinoma in situ, restrict nippleareola complex reservation, and postmastectomy radiotherapy were discussed.
ResultsSkinsparing mastectomy combined with immediate breast reconstruction is a safe operative modality for T1/T2 tumor without skin adhesion, multicentric tumors, and ductal carcinoma in situ. What is more, it does not defer adjuvant therapy. However, it may be prudent to reserve the nippleareola complex only for peripherally located T1/T2 tumors and some other less serious invasion degree. Since the effect of SSM and immediate breast reconstruction on postmastectomy radiotherapy is confusing, there are still controversies on whether the patients who have already been operated should take radiotherapy.
ConclusionSSM is a safe operative modality for selected patients with breast cancer, and delayed reconstruction may be a good choice for patients who would take postmastectomy radiotherapy.

Citation： GUO Meiqin,JIANG Jun.. Status and Controversy on SkinSparing Mastectomy for Breast Cancer. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2006, 13(3): 351-354. doi: Copy

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37.	Hammond DC, Capraro PA, Ozolins EB, et al. Use of a skinsparing reduction pattern to create a combination skinmuscle flap pocket in immediate breast reconstruction.
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43.	MedinaFranco H, Vasconez LO, Fix RJ, et al. Factors associated with local recurrence after skinsparing mastectomy and immediate breast reconstruction for invasive breast cancer.
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47.	Fersis N, Hoenig A, Rwlakis K, et al. Skinsparing mastectomy and immediate breast reconstruction: incidence of recurrence in patients with invasive breast cancer.
48.	Downes KJ, Glatt BS, Kanchwala SK, et al. Skinsparing mastectomy and immediate reconstruction is an acceptable treatment option for patients with highrisk breast carcinoma.
49.	Allweis TM, Boisvert ME, Otero SE, et al. Immediate reconstruction after mastectomy for breast cancer does not prolong the time to starting adjuvant chemotherapy.
50.	Veronesi U, Cascinelli N, Mariani L, et al. Twentyyear followup of a randomized study comparing breastconserving surgery with radical mastectomy for early breast cancer.
51.	Mokbel K. Towards optimal management of ductal carcinoma in situ of the breast.
52.	Rubio IT, Mirza N, Sahin AA, et al. Role of specimen radiography in patients treated with skinsparing mastectomy for ductal carcinoma in situ of the breast.
53.	Laronga C, Kemp B, Johnston D, et al. The incidence of occult nippleareola complex involvement in breast cancer patients receiving a skinsparing mastectomy.
54.	Simmons RM, Brennan M, Christos P, et al. Analysis of nipple/areolar involvement with mastectomy: can the areola be preserved?.
55.	Cense HA, Rutgers EJ, Lopes Cardozo M, et al. Nipplesparing mastectomy in breast cancer: a viable option?.
56.	Recht A, Edge SB. Evidencebased indications for postmastectomy irradiation.
57.	Singletary SE, Robb GL. Oncologic safety of skinsparing mastectomy.
58.	Buchholz TA, Kronowitz SJ, Kuerer HM. Immediate breast reconstruction after skinsparing mastectomy for the treatment of advanced breast cancer: radiation oncology considerations.
59.	Hultman CS, Daiza S. Skinsparing mastectomy flap complications after breast reconstruction: review of incidence, management, and outcome.
60.	Disa JJ, Cordeiro PG, Heerdt AH, et al. Skinsparing mastectomy and immediate autologous tissue reconstruction after wholebreast irradiation.
61.	姜军. 乳腺腔镜手术的实践与思考 [J]. 中国普外基础与临床杂志.
62.	; 12(3)∶207.

1. [J]. Surg Clin North Am, 2003; 83(4)∶885.
2. [J]. Cancer, 2003; 98(11)∶2316.
3. [J]. Eur J Surg Oncol, 2001; 27(6)∶601.
4. [J]. Ann Plast Surg， 2004; 53(1)∶31.
5. [J]. Cancer， 2002; 94(6)∶1619.
6. [J]. Plast Reconstr Surg, 2002; 110(1)∶206.
7. [J]. Plast Reconstr Surg， 2004; 113(6)∶1617.
8. [J]. Ann Surg Oncol, 2003; 10(2)∶102.
9.
10. [J]. Cancer J, 2000; 6(5)∶331.
11. [J]. Ann Surg Oncol, 2002; 9(5)∶462.
12.
13. [J]. Ann Surg, 2002; 235(6)∶814.
14. [J]. Plast Reconstr Surg, 2003; 111(2)∶706.
15.
16. [J]. Ann Surg Oncol, 2003; 10(2)∶108.
17. [J]. Ann Surg, 2003; 238(1)∶120.
18. [J]. Breast, 2004; 13(6)∶488.
19. [J]. Cancer, 2005; 103(5)∶906.
20. [J]. Am J Surg, 2002; 183(3)∶218.
21. [J]. N Engl J Med, 2002; 347(16)∶1227.
22. [J]. Eur J Surg Oncol, 2003; 29(2)∶191.
23. [J]. Ann Surg Oncol, 2000; 7(7)∶544.
24. [J]. Ann Surg Oncol, 1999; 6(6)∶609.
25. [J]. Ann Surg Oncol, 2002; 9(2)∶165.
26. [J]. Eur J Surg Oncol, 2001; 27(6)∶521.
27. [J]. Surg Clin North Am, 2003; 83(4)∶995.
28. [J]. Ann Surg Oncol， 2003; 10(2)∶95.
29. [J]. Ann Surg Oncol, 2002; 9(8)∶820.
30. [J]. Ann Plast Surg, 2003; 50(3)∶249.
31. [J]. Plast Reconstr Surg, 2003; 111(1)∶118.
32. Simmons RM, Adamovich TL. Skinsparing mastectomy.
33. Bleicher RJ, Hansen NM, Giuliano AE. Skinsparing mastectomy. specialty bias and worldwide lack of consensus.
34. Shrotria S. The periareolar incisiongateway to the breast!.
35. Vlajcic Z, Zic R, Stanec S, et al. Omega and inverted omega incision: a concept of uniform incision in breast surgery.
36. Beer GM, Varga Z, Budi S, et al. Incidence of the superficial fascia and its relevance in skinsparing mastectomy.
37. Hammond DC, Capraro PA, Ozolins EB, et al. Use of a skinsparing reduction pattern to create a combination skinmuscle flap pocket in immediate breast reconstruction.
38. Kronowitz SJ, Hunt KK, Kuerer HM, et al. Delayedimmediate breast reconstruction.
39. Simmons RM, Hollenbeck ST, Latrenta GS. Areolasparing mastectomy with immediate breast reconstruction [J]. Ann Plast Surg， 2003; 51(6)∶547.
40. Ho CM, Mak CK, Lau Y, et al. Skin involvement in invasive breast carcinoma: safety of skinsparing mastectomy.
41. Rivadeneira DE, Simmons RM, Fish SK, et al. Skinsparing mastectomy with immediate breast reconstruction: a critical analysis of local recurrence.
42. Foster RD, Esserman LJ, Anthony JP, et al. Skinsparing mastectomy and immediate breast reconstruction: a prospective cohort study for the treatment of advanced stages of breast carcinoma.
43. MedinaFranco H, Vasconez LO, Fix RJ, et al. Factors associated with local recurrence after skinsparing mastectomy and immediate breast reconstruction for invasive breast cancer.
44. Spiegel AJ, Butler CE. Recurrence following treatment of ductal carcinoma in situ with skinsparing mastectomy and immediate breast reconstruction.
45. Carlson GW, Styblo TM, Lyles RH, et al. Local recurrence after skinsparing mastectomy: tumor biology or surgical conservatism?.
46. Gerber B, Krause A, Reimer T, et al. Skinsparing mastectomy with conservation of the nippleareola complex and autologous reconstruction is an oncologically safe procedure.
47. Fersis N, Hoenig A, Rwlakis K, et al. Skinsparing mastectomy and immediate breast reconstruction: incidence of recurrence in patients with invasive breast cancer.
48. Downes KJ, Glatt BS, Kanchwala SK, et al. Skinsparing mastectomy and immediate reconstruction is an acceptable treatment option for patients with highrisk breast carcinoma.
49. Allweis TM, Boisvert ME, Otero SE, et al. Immediate reconstruction after mastectomy for breast cancer does not prolong the time to starting adjuvant chemotherapy.
50. Veronesi U, Cascinelli N, Mariani L, et al. Twentyyear followup of a randomized study comparing breastconserving surgery with radical mastectomy for early breast cancer.
51. Mokbel K. Towards optimal management of ductal carcinoma in situ of the breast.
52. Rubio IT, Mirza N, Sahin AA, et al. Role of specimen radiography in patients treated with skinsparing mastectomy for ductal carcinoma in situ of the breast.
53. Laronga C, Kemp B, Johnston D, et al. The incidence of occult nippleareola complex involvement in breast cancer patients receiving a skinsparing mastectomy.
54. Simmons RM, Brennan M, Christos P, et al. Analysis of nipple/areolar involvement with mastectomy: can the areola be preserved?.
55. Cense HA, Rutgers EJ, Lopes Cardozo M, et al. Nipplesparing mastectomy in breast cancer: a viable option?.
56. Recht A, Edge SB. Evidencebased indications for postmastectomy irradiation.
57. Singletary SE, Robb GL. Oncologic safety of skinsparing mastectomy.
58. Buchholz TA, Kronowitz SJ, Kuerer HM. Immediate breast reconstruction after skinsparing mastectomy for the treatment of advanced breast cancer: radiation oncology considerations.
59. Hultman CS, Daiza S. Skinsparing mastectomy flap complications after breast reconstruction: review of incidence, management, and outcome.
60. Disa JJ, Cordeiro PG, Heerdt AH, et al. Skinsparing mastectomy and immediate autologous tissue reconstruction after wholebreast irradiation.
61. 姜军. 乳腺腔镜手术的实践与思考 [J]. 中国普外基础与临床杂志.
62. ; 12(3)∶207.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Status and Controversy on SkinSparing Mastectomy for Breast Cancer

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