Nipple sparing subcutaneous mastectomy: Sixty-six months follow-up

Aim: Validation of oncological and reconstructive efficacy of nipple sparing subcutaneous mastectomy. Methods: We enrolled 50 patients on behalf of Humanitas Centro Catanese di Oncologia fulfilling appropriate reconstructive and oncological criteria to undergo nipple sparing subcutaneous mastectomy. We preferably selected women with medium size-small breast affected by early stage breast cancer peripherally located with intra-operative negative frozen section of the major ducts. Results: fourty-six patients were alive after a mean follow-up of 5.5 years. We observed a single case of local recurrence in the nipple successfully treated with local excision. Five patients presented metastatic disease. One is currently alive, 4 died because of progressive disease. Conclusions: Our study supports other findings regarding safety and efficacy of nipple sparing subcutaneous mastectomy for selected patients. (c) 2006 Elsevier Ltd. All rights reserved.