Importance of perforating vessels in nipple-sparing mastectomy: an anatomical description

Claudio Amanti,1 Valeria Vitale,1 Augusto Lombardi,1 Stefano Maggi,1 Laura Bersigotti,1 Gianni Lazzarin,1 Emiliano Nuccetelli,1 Camilla Romano,1 Laura Campanella,1 Lara Cristiano,2 Alessandra Bartoloni,2 Giuseppe Argento2 1Breast Surgery Unit, 2Radiology Unit, University of Roma, La Sapienza Sant&am...

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Autores principales:	Amanti C, Vitale V, Lombardi A, Maggi S, Bersigotti L, Lazzarin G, Nuccetelli E, Romano C, Campanella L, Cristiano L, Bartoloni A, Argento G
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/610eddc4188c4a348ba708bf805470a3
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spelling	oai:doaj.org-article:610eddc4188c4a348ba708bf805470a32021-12-02T07:49:11ZImportance of perforating vessels in nipple-sparing mastectomy: an anatomical description1179-1314https://doaj.org/article/610eddc4188c4a348ba708bf805470a32015-07-01T00:00:00Zhttp://www.dovepress.com/importance-of-perforating-vessels-in-nipple-sparing-mastectomy-an-anat-peer-reviewed-article-BCTThttps://doaj.org/toc/1179-1314Claudio Amanti,1 Valeria Vitale,1 Augusto Lombardi,1 Stefano Maggi,1 Laura Bersigotti,1 Gianni Lazzarin,1 Emiliano Nuccetelli,1 Camilla Romano,1 Laura Campanella,1 Lara Cristiano,2 Alessandra Bartoloni,2 Giuseppe Argento2 1Breast Surgery Unit, 2Radiology Unit, University of Roma, La Sapienza Sant'Andrea Hospital, Rome, Italy Background: Nipple-sparing mastectomy (NSM), understood as an oncologically valid procedure, is relatively new, and is an evolution of traditional mastectomy, particularly in relation to breast-conserving surgery. The anterior perforating branches are responsible for the cutaneous vascularization of the breast skin, and their preservation is a fundamental step to avoid possible postoperative necrosis. Therefore, evaluating the potential complications of cancer-related reconstructive surgical procedures such as NSM, both the distance of the tumoral lesion from the skin and the surgical incision site should be carefully considered. The preferred site of incision corresponds to the inframammary fold or possibly the periareolar area.Methods: We retrospectively reviewed 113 patients who underwent NSM from January 2005 to October 2012 to evaluate skin complications. The anatomical study was performed by magnetic resonance imaging of the breast.Results: Only one of the 113 women who had undergone a NSM procedure had total necrosis (0.9%) and six patients had partial necrosis (5.8%) of the nipple-areola complex. Keywords: nipple-sparing mastectomy, breast, magnetic resonance imaging, breast perforating vessels, breast anatomyAmanti CVitale VLombardi AMaggi SBersigotti LLazzarin GNuccetelli ERomano CCampanella LCristiano LBartoloni AArgento GDove Medical PressarticleNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENBreast Cancer: Targets and Therapy, Vol 2015, Iss default, Pp 179-181 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Amanti C Vitale V Lombardi A Maggi S Bersigotti L Lazzarin G Nuccetelli E Romano C Campanella L Cristiano L Bartoloni A Argento G Importance of perforating vessels in nipple-sparing mastectomy: an anatomical description
description	Claudio Amanti,1 Valeria Vitale,1 Augusto Lombardi,1 Stefano Maggi,1 Laura Bersigotti,1 Gianni Lazzarin,1 Emiliano Nuccetelli,1 Camilla Romano,1 Laura Campanella,1 Lara Cristiano,2 Alessandra Bartoloni,2 Giuseppe Argento2 1Breast Surgery Unit, 2Radiology Unit, University of Roma, La Sapienza Sant'Andrea Hospital, Rome, Italy Background: Nipple-sparing mastectomy (NSM), understood as an oncologically valid procedure, is relatively new, and is an evolution of traditional mastectomy, particularly in relation to breast-conserving surgery. The anterior perforating branches are responsible for the cutaneous vascularization of the breast skin, and their preservation is a fundamental step to avoid possible postoperative necrosis. Therefore, evaluating the potential complications of cancer-related reconstructive surgical procedures such as NSM, both the distance of the tumoral lesion from the skin and the surgical incision site should be carefully considered. The preferred site of incision corresponds to the inframammary fold or possibly the periareolar area.Methods: We retrospectively reviewed 113 patients who underwent NSM from January 2005 to October 2012 to evaluate skin complications. The anatomical study was performed by magnetic resonance imaging of the breast.Results: Only one of the 113 women who had undergone a NSM procedure had total necrosis (0.9%) and six patients had partial necrosis (5.8%) of the nipple-areola complex. Keywords: nipple-sparing mastectomy, breast, magnetic resonance imaging, breast perforating vessels, breast anatomy
format	article
author	Amanti C Vitale V Lombardi A Maggi S Bersigotti L Lazzarin G Nuccetelli E Romano C Campanella L Cristiano L Bartoloni A Argento G
author_facet	Amanti C Vitale V Lombardi A Maggi S Bersigotti L Lazzarin G Nuccetelli E Romano C Campanella L Cristiano L Bartoloni A Argento G
author_sort	Amanti C
title	Importance of perforating vessels in nipple-sparing mastectomy: an anatomical description
title_short	Importance of perforating vessels in nipple-sparing mastectomy: an anatomical description
title_full	Importance of perforating vessels in nipple-sparing mastectomy: an anatomical description
title_fullStr	Importance of perforating vessels in nipple-sparing mastectomy: an anatomical description
title_full_unstemmed	Importance of perforating vessels in nipple-sparing mastectomy: an anatomical description
title_sort	importance of perforating vessels in nipple-sparing mastectomy: an anatomical description
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/610eddc4188c4a348ba708bf805470a3
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Importance of perforating vessels in nipple-sparing mastectomy: an anatomical description

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