Abstract
Background While nipple-sparing mastectomy (NSM) is gaining acceptance for risk reduction and for treatment of early stage breast cancer, node-positive disease remains a relative contraindication. Our aim was to evaluate the use and outcomes of NSM in node-positive breast cancer patients. Methods We identified 240 cancers in 226 patients (14 bilateral) scheduled for NSM and operated on between 1/2009 and 6/2014. We compared outcomes for 58 node-positive vs 182 node-negative patients. Results Intraoperative conversion to skin-sparing mastectomy was similar for node-positive and node-negative patients, 10% and 7%, as was 1-year success of NSM, 84% and 90%, respectively. Five-year locoregional disease-free estimates were 82% (95% CI 68%–99%) for node-positive and 99% (95% CI 96%–100%) for node-negative patients, P = .004; however, there were no nipple-areolar recurrences among node-positive patients. Conclusions With careful consideration of biologic and anatomic risk factors for recurrence, these data suggest that NSM is a reasonable option for selected node-positive breast cancer patients.
Original language | English (US) |
---|---|
Pages (from-to) | 810-813 |
Number of pages | 4 |
Journal | American journal of surgery |
Volume | 213 |
Issue number | 4 |
DOIs |
|
State | Published - Apr 1 2017 |
Keywords
- Breast cancer
- Local recurrence
- Lymph node
- Nipple-sparing mastectomy
- Node-positive
- Outcomes
ASJC Scopus subject areas
- Surgery