[Conservation of the nipple-areola complex in case of mastectomy]

Abstract

Nipple-Sparing Mastectomy (NSM) is a procedure with skin-sparing mastectomy and nipple-areolar complex preservation in association with immediate reconstruction. The aim of this publication is to perform a review of oncological results, technical procedure, complications and indications of NSM with discussion of post-mastectomy radiotherapy indication. Local areolar recurrence is rare and treatment is performed by resection of the nipple-areolar complex. The nipple-areolar complex necrosis rate is a specific complication, observed between 1 to 30% in literature studies. Incisions and surgical procedure of dissection are discussed.

Keywords: Mastectomie; Mastectomie avec conservation de la plaque aréolo-mamelonnaire; Mastectomy; Nipple-Sparing mastectomy; Nipple–areolar complex; Plaque aréolo-mammelonnaire.