Dadzie Aaron, Alsabawi Yossef, Khan Sonia Y, Berry Paul A
Medical Education, University of Texas Rio Grande Valley School of Medicine, Edinburg, USA.
General Surgery, University of Texas Rio Grande Valley School of Medicine, Edinburg, USA.
Cureus. 2025 Aug 15;17(8):e90157. doi: 10.7759/cureus.90157. eCollection 2025 Aug.
Mastectomies have long been used as a surgical treatment for malignant and benign disorders of the breast, both as a therapy and prophylaxis in high-risk patients. A nipple-sparing mastectomy (NSM) allows for the removal of most of the glandular and ductal tissues while preserving the surface architecture of the nipple-areola complex (NAC). This report summarizes the current mastectomy practices and suggests an expansion of the established surgical selection criteria for NSM in the context of immediate implant-based breast reconstruction. We present two cases in which a novel hybrid oncoplastic approach was used and discuss its safety and efficacy when performing primary breast reconstruction in female patients considered non-ideal candidates for NSM.
长期以来，乳房切除术一直被用作治疗乳房恶性和良性疾病的外科手术，在高危患者中既作为一种治疗方法，也作为一种预防措施。保留乳头的乳房切除术（NSM）可以切除大部分腺体和导管组织，同时保留乳头乳晕复合体（NAC）的表面结构。本报告总结了当前的乳房切除术实践，并建议在即刻植入式乳房重建的背景下扩大已确立的NSM手术选择标准。我们展示了两例采用新型混合肿瘤整形方法的病例，并讨论了在被认为不适合NSM的女性患者中进行一期乳房重建时该方法的安全性和有效性。
