If a surgeon talks about a skin sparing mastectomy, this refers to a technique that preserves as much of the breast skin as possible in order to perform an immediate breast reconstruction. A skin sparing mastectomy can be performed as a “simple” (also known as “total”) mastectomy or, as a modified radical mastectomy (where the lymph nodes in the armpit are removed too).
The breast surgeon removes just the skin of the nipple, areola and the original biopsy scar. Then, through a small opening, the breast tissue is removed. The remaining skin envelope is what provides the optimum shape and form to be able to accommodate an implant or reconstruction with your own tissue (known as autologous tissue).
This kind of surgery encourages the most realistic type of reconstruction, with the patient retaining their own skin and a near-natural shape.
With a skin sparing mastectomy, the skin envelope becomes very thin. As a result, the blood supply can sometimes be compromised leading to wound breakdown and skin loss.
No. Studies have shown that a skin sparing mastectomy has an equivalent result compared with a modified radical mastectomy. If there’s any doubt that the cancer may involve the skin (such as with inflammatory breast cancer), then a wider excision of skin may be deemed necessary by your surgeon.
Excited for tomorrow's BRCA panel at Limmud at 12:10. A chance to hear personal testimonies and think through the issues together #limmud
Serial measurements of CA125 with ultrasound screening improves survival and reduces unnecessary surgery scienceblog.cancerresearchuk.…
Big launch today of the new BRCA PROTECT Research Clinic at UCL. Watch and please share our launch video: youtu.be/nn85HUexGC0