A Comparison of Patient-Reported Outcomes After Nipple-Sparing Mastectomy and Conventional Mastectomy with Reconstruction

Romanoff, Anya; Zabor, Emily C.; Stempel, Michelle; Sacchini, Virgilio; Pusic, Andrea L.; Morrow, Monica

doi:10.1245/s10434-018-6585-4

Cited by 76 publications

(64 citation statements)

References 28 publications

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“…Another study showed higher body image scale scores in NSM compared to skin sparring mastectomy (SSM), but the difference was not statistically significant [22]. Other studies have also noted higher psychosocial [23] and sexual wellbeing scores in NSM patients [21].…”

Section: Novel Reconstructive Techniques: a Patient Attractormentioning

confidence: 93%

“…In 2018, a review of the American Society of Breast Surgeons (ASBrS) NSM database showed the majority of NSMs as being performed for prophylactic reasons [20]. Furthermore, NSM patients tend to be younger, Caucasian, and have smaller BMIs [21]. Another study showed higher body image scale scores in NSM compared to skin sparring mastectomy (SSM), but the difference was not statistically significant [22].…”

Section: Novel Reconstructive Techniques: a Patient Attractormentioning

confidence: 99%

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Genetic Mutation Carriers: Special Considerations for Their Influence on a Modern Breast Reconstruction Practice

Woodfin¹,

Antony²

2020

Breast Cancer and Breast Reconstruction

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With medical advancement, increasing numbers of genetic variations and mutations are being uncovered that offer greater insight into which patients have a predisposition for the development of breast cancer. Reasonable management for these patients includes high-risk surveillance, medical prophylaxis, or bilateral prophylactic mastectomy with immediate reconstruction which is becoming increasingly popular. However, this cohort of patients differs from the average breast cancer patient in that they are typically younger and may have distinct reconstructive objectives for their outcomes. This chapter considers this unique and expanding population, as well as their expectations for surgical outcomes both aesthetically and oncologically. We will discuss the evolving role of social media in this population, with patient to patient virtual information sharing and how this may impact patient referrals in a manner diverging from traditional hospital-based patterns. Furthermore, we discuss how practices in which cutting-edge and novel surgical treatments are available, such as pre-pectoral and single stage reconstruction, and that incorporate team collaboration with the surgical oncologist to deliver aesthetically pleasing results with nipple sparing mastectomy and concealed scars may ultimately be attractive to genetic mutation carriers concerned not only with risk reduction but also post-operative aesthetics.

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Section: Novel Reconstructive Techniques: a Patient Attractormentioning

confidence: 93%

Section: Novel Reconstructive Techniques: a Patient Attractormentioning

confidence: 99%

Genetic Mutation Carriers: Special Considerations for Their Influence on a Modern Breast Reconstruction Practice

Woodfin¹,

Antony²

2020

Breast Cancer and Breast Reconstruction

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“…A positive margin can present a major dilemma, as this leads to postmastectomy radiation therapy, which decreases patient satisfaction with their outcome 50 . In cases of an anterior tumor where I am concerned about the final margin, I often remove the overlying subcutaneous tissue and send this as a separate specimen, called final anterior tumor margin.…”

Section: Trouble Shootingmentioning

confidence: 99%

The modern approach to the nipple‐sparing mastectomy

Kopkash

Sisco

Poli

et al. 2020

Journal of Surgical Oncology

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A modern perspective on the nipple-sparing mastectomy (NSM) looking at current indications as well as the most up-to-date evidence both in the literature and from our institution. There is an in-depth description of our NSM technique and an overview of alternative approaches, including the robotic technique. The complicated concept of the learning curve is addressed and ideas on how to train other NSM adopters. K E Y W O R D S breast cancer risk reduction, breast cancer surgery, nipple-sparing mastectomy, robotic nipple-sparing mastectomy, surgical technique

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“…No que diz respeito ao tratamento cirúrgico, um estudo realizado por Romanoff et al (2018) revelou que pacientes submetidas à mastectomia poupadora de mamilo apresentaram níveis significativamente maiores de bem-estar psicossocial e bem-estar sexual que pacientes submetidas à mastectomia total. Contudo, apesar dos resultados satisfatórias, a técnica cirúrgica poupadora de mamilo possui indicações mais limitadas, sendo recomendada em pacientes com doenças em estágios precoces, biologicamente favoráveis e com tumores localizados perifericamente (ROMANOFF et al, 2018).…”

Section: Metodologiaunclassified

A História, a Dor e o Sofrimento de Mulheres diagnosticadas com Câncer: Uma Revisão Sistemática / The History, Pain and Suffering of Cancer diagnosed Women: A Systematic Review

Brito¹,

Feitosa

Felix

et al. 2020

IDonline

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O adoecimento biológico tende a ser intensificado por vieses impostos nos quadrantes psicossociais. As consequências emocionais reverberantes em mulheres acometidas por câncer são recorrentes e necessitam de assistência adequada visando sua reintegração familiar e social, assim como sua adaptação à uma nova realidade. Assim, surge a preocupação quanto os sentimentos que circundam a existências de mulheres diagnosticadas com câncer, uma vez que sua história de vida e seu ambiente psicossocial interferem diretamente em sua reação e enfretamento deste momento. Logo, este trabalho tem por objetivo realizar uma pesquisa de revisão sistemática da literatura dos últimos cinco anos quanto a história, a dor e o sofrimento de mulheres diagnosticadas com câncer. Foi realizada uma busca nas bases de dados da PUBMED e BVS, a partir das palavras-chave (MeSH): “Psychosocial” , “Women” e “Cancer”. Em seguida, os trabalhos foram submetidos ao protocolo PRISMA para revisões sistemáticas. Foram identificados 362 artigos, sendo selecionados apenas 7 na amostra final após aplicação dos critérios de inclusão do protocolo de pesquisa. Os estudos mostraram que as mulheres diante da notícia do diagnóstico se sentem aflitas, comumente recebem apoio da família e buscam algum apoio religioso para lidar com o diagnóstico do câncer de mama. Além disso, os resultados falso-positivos também estão associados a prejuízo psicossocial para as mulheres que experimentam níveis de ansiedade, desânimo, efeitos negativos no sono, no comportamento e na vida sexual semelhantes às pacientes que possuem um diagnóstico verídico.

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A Comparison of Patient-Reported Outcomes After Nipple-Sparing Mastectomy and Conventional Mastectomy with Reconstruction

Abstract: Patient-reported outcomes should be discussed with women weighing the risks and benefits of NSM to provide a better understanding of expected quality of life.

Cited by 76 publications

References 28 publications

Genetic Mutation Carriers: Special Considerations for Their Influence on a Modern Breast Reconstruction Practice

Genetic Mutation Carriers: Special Considerations for Their Influence on a Modern Breast Reconstruction Practice

The modern approach to the nipple‐sparing mastectomy

A História, a Dor e o Sofrimento de Mulheres diagnosticadas com Câncer: Uma Revisão Sistemática / The History, Pain and Suffering of Cancer diagnosed Women: A Systematic Review

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