Oncological considerations of skin-sparing mastectomy
2006
Oncological Safety of Skin-Sparing Mastectomy
Sample size: 539
publication
Evidence: moderate
Author Information
Author(s): Cunnick GH, Mokbel K
Hypothesis
Is skin-sparing mastectomy oncologically safe for invasive breast cancer and ductal carcinoma in situ?
Conclusion
Skin-sparing mastectomy is considered oncologically safe for certain breast cancer patients, particularly those with smaller tumours.
Supporting Evidence
- SSM has become an accepted procedure for early breast cancer.
- SSM appears oncologically safe for tumours smaller than 5 cm.
- SSM with NAC preservation is safe if the tumour is not close to the nipple.
Takeaway
Skin-sparing mastectomy helps keep more skin during breast surgery, which can make the breast look better after reconstruction.
Methodology
Literature review using Medline and PubMed databases.
Potential Biases
Potential bias due to the retrospective nature of most studies.
Limitations
Lack of randomized controlled trials and prospective data; most studies are retrospective and from single institutions.
Participant Demographics
Women undergoing mastectomy for early breast cancer.
Digital Object Identifier (DOI)
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