Our Summary

This research paper looks at how effective and safe a particular type of breast cancer surgery, called nipple-sparing mastectomy, is for patients. The study analysed results from 894 patients who underwent this procedure between 2002 and 2017. The goal of this kind of surgery is to remove the cancer while keeping as much of the breast’s natural shape and function as possible.

The researchers classified any complications that occurred within a month of the surgery as “early” and anything after that as “late”. They found that the rate of complications, overall survival and relapses was in line with what other studies have found. They discovered that patients who had additional chemotherapy after surgery were more likely to have late complications. However, they didn’t find any factors that predicted early complications.

The study concluded that nipple-sparing mastectomy is a safe surgical option that provides good results in terms of both cancer treatment and preserving the appearance of the breast.

FAQs

  1. What is the goal of a nipple-sparing mastectomy?
  2. What were the findings of the study regarding complications in patients who underwent nipple-sparing mastectomy?
  3. How effective and safe is nipple-sparing mastectomy in treating breast cancer, according to this research?

Doctor’s Tip

One helpful tip a doctor might tell a patient about mastectomy is to follow post-operative care instructions carefully. This may include proper wound care, avoiding heavy lifting or strenuous activities, and attending follow-up appointments as scheduled. Additionally, it is important for patients to communicate any concerns or changes they notice with their doctor to ensure optimal healing and recovery.

Suitable For

Patients who are typically recommended for mastectomy include those with:

  • Early-stage breast cancer
  • Large tumors relative to breast size
  • Multiple tumors in different areas of the breast
  • A history of previous radiation therapy to the breast
  • Genetic mutations such as BRCA1 or BRCA2
  • A strong family history of breast cancer
  • Inflammatory breast cancer
  • Recurrent breast cancer
  • Patients who are unable or unwilling to undergo lumpectomy or breast-conserving surgery

It is important for patients to discuss with their healthcare provider the best treatment options for their specific situation, as well as the potential risks and benefits of mastectomy compared to other treatment options.

Timeline

Before mastectomy:

  • Patient receives a breast cancer diagnosis
  • Consults with healthcare providers to discuss treatment options, including surgery
  • Decision is made to undergo mastectomy
  • Pre-operative tests and evaluations are conducted
  • Patient prepares for surgery, including arranging for support during recovery

After mastectomy:

  • Surgery is performed to remove the breast tissue, including the cancerous cells
  • Patient may experience pain, swelling, and bruising in the surgical area
  • Recovery period begins, which may involve physical therapy and pain management
  • Patient may need to adjust to changes in appearance and function of the breast
  • Follow-up appointments are scheduled to monitor healing and discuss potential reconstruction options
  • Patient undergoes any necessary additional treatments, such as chemotherapy or radiation therapy
  • Long-term follow-up is conducted to monitor for any signs of cancer recurrence or complications from the surgery

What to Ask Your Doctor

Some questions a patient should ask their doctor about mastectomy include:

  1. What are the potential risks and complications associated with nipple-sparing mastectomy?
  2. How will the surgery impact my overall quality of life, including physical and emotional well-being?
  3. What are the expected outcomes in terms of cancer treatment effectiveness and cosmetic results?
  4. Will I need additional treatments, such as chemotherapy or radiation, after the surgery?
  5. How long is the recovery process and what can I expect in terms of pain and discomfort?
  6. Are there any long-term effects or considerations I should be aware of after the surgery?
  7. How often will I need follow-up appointments and monitoring after the mastectomy?
  8. Are there any lifestyle changes or restrictions I should follow post-surgery to optimize my healing and recovery?
  9. What are the alternatives to nipple-sparing mastectomy and how do they compare in terms of safety and effectiveness?
  10. Can you provide me with information about support resources or organizations that can help me navigate through this process and cope with the emotional aspects of breast cancer surgery?

Reference

Authors: Metere A, Fabiani E, Lonardo MT, Giannotti D, Pace D, Giacomelli L. Journal: Medicina (Kaunas). 2020 Apr 8;56(4):166. doi: 10.3390/medicina56040166. PMID: 32276470