Fifteen-year series of skin-sparing mastectomy for stage 0 to 2 breast cancer.

作者信息

Greenway Roy M, Schlossberg Leon, Dooley William C

机构信息

OU Breast Institute, 920 S. L. Young Blvd, Suite 2290, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA.

出版信息

Am J Surg. 2005 Dec;190(6):918-22. doi: 10.1016/j.amjsurg.2005.08.035.

BACKGROUND

In 1989, skin-sparing mastectomy started at a number of breast centers in the United States because of an increasing demand for immediate reconstruction and a desire for better cosmetic outcomes.

METHODS

To ensure the safety of this new approach, we have reviewed the personal series of a single surgeon using a standardized skin-sparing technique during 1989 to 2004.

RESULTS

Skin-sparing mastectomy with immediate reconstruction was performed on 225 patients, and standard mastectomy was performed on 1,022 patients. The age distribution was 8 years younger on average in the reconstructed group. The average follow-up for each group was 49 months. The local recurrence for each group was 1.7% and 1.5% (P > .80). The regional recurrence was 3.8% and 3.9% (P > .80). The average time to local recurrence was similar in each group (33.1 and 32.6 months, P > .80).

CONCLUSIONS

A skin-sparing mastectomy does not change the local, regional, or systemic risk to breast cancer patients.