Skin Sparing Mastectomy as an Oncoplastic Surgery Technique for Breast Cancer treatment

Abstract

reast cancer, according to national cancer institute, is the most common site of cancer in women in Egypt as it accounts for about 38.8% of total malignancies among Egyptian females; it is an important cause of mortality among women. The goal of modern breast surgery is to cure patients with preservation of breast tissue as much as possible with satisfactory physical and psychological outcome. This goal has led to introduction of a new scope of surgery into our clinical practice called oncoplastic breast surgery, with the advantage of combining oncological safety and satisfactory cosmetic outcome. Skin-sparing mastectomy combined with immediate reconstruction can provide excellent cosmetic results. This technique preserves the natural skin envelope of the breast while removing the breast, NAC, biopsy scars, and skin overlying superficial tumors. Studies have shown that LR rates for skin-sparing mastectomies are comparable to those of non-skin-sparing mastectomies in patients with non-invasive and early stage breast cancer. This technique is also well-suited for those patients at high risk for developing breast cancer who opt for a prophylactic mastectomy. It is contraindicated in patients with tumors involving the skin. Smoking, previous radiation, diabetes, and obesity can increase the risk of skin envelope ischemia, necrosis, and infection.