Conservative mastectomy: extending the idea of breast conservation

Scientific Direction, European Institute of Oncology, Milan, Italy.
The Lancet Oncology (Impact Factor: 25.12). 07/2012; 13(7):e311-7. DOI: 10.1016/S1470-2045(12)70133-X
Source: PubMed

ABSTRACT Conservative mastectomy is a surgical technique to remove breast glandular tissue without disruption to the appearance of the breast. The main contraindication to this operation is involvement of the nipple-areola complex. Preservation of a healthy nipple does not affect long-term survival rates. Intraoperative retroareolar biopsy and accurate removal of all mammary tissue are mainstays to guarantee oncological safety of the technique. A complication, however infrequent, is nipple necrosis, which can be treated successfully by local excision. Several breast reconstructive techniques are used during conservative mastectomy and aesthetic results are good in most cases.