2009
DOI: 10.1200/jco.2008.20.8785
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Occult Nipple Involvement in Breast Cancer: Clinicopathologic Findings in 316 Consecutive Mastectomy Specimens

Abstract: Nipple-sparing mastectomy may be suitable for selected cases of breast carcinoma with low probability of nipple involvement by carcinoma and prophylactic procedures. A retroareolar en-face margin may be used to test for occult involvement in patients undergoing nipple-sparing mastectomy.

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Cited by 165 publications
(122 citation statements)
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“…In the present study it was seen that majority of the cases had tumorsize between 2 cm to 5 cm category which was comparable with the observations made by Rojananin et al 11 and Tan PH et al 12 . However, Baxter et al 6 found that predominant tumours size was less than 2 cm.…”
Section: Tumor Sizesupporting
confidence: 81%
“…In the present study it was seen that majority of the cases had tumorsize between 2 cm to 5 cm category which was comparable with the observations made by Rojananin et al 11 and Tan PH et al 12 . However, Baxter et al 6 found that predominant tumours size was less than 2 cm.…”
Section: Tumor Sizesupporting
confidence: 81%
“…In some institutions, such as the IEO in Milan, the NAC-sparing mastectomy is associated with IORT (so-called E [1]LIOT, one shot of 16 Gy) to the NAC [96]. In other centres, it is performed without IORT [97][98].…”
Section: Intraoperative Radiotherapy (Iort)mentioning
confidence: 99%
“…Patients with evidence of direct nipple involvement of tumor, Paget's disease, inflammatory breast cancer, tumor size > 3 cm, or tumor < 2 cm from nipple center may not be suitable candidates for NASM because of an increased risk of local tumor recurrence (Brachtel et al, 2009;Cunnick & Mokbel, 2006). Following NASM, the quality of the preserved skin is an important consideration for direct-to-implant reconstruction because extremely thin skin or compromised skin increases the risk of ischemia and skin necrosis which can eventually lead to implant loss (Woerdeman et al, 2006).…”
Section: Review Of Experiencementioning
confidence: 99%