Review Article
Oncologic Safety of Skin-Sparing and Nipple-Sparing Mastectomy: A Discussion and Review of the Literature
Table 3
Rate of NAC loss following NSM.
| Author | Year | Number of Pts | NA complex loss | Incision |
| Petit et al. [16] | 2003 | 27 | 3.7% total, 7.4% partial | | Gerber et al. [17] | 2003 | 112 | 0% total, 9.8% partial | | Crowe et al. [18] | 2004 | 54 | 0% total, 6% partial | Medial led to all 3 losses (6%), then used lateral | Petit et al. [19] | 2006 | 106 | 4.7% total, 10.4% partial | Ellipse overlying previous biopsy site | Caruso et al. [20] | 2006 | 50 |
0.02% total | | Sacchini et al. [21] | 2006 | 192 | 4.7% >2/3 area loss, 11.45% partial | Primarily PA* with lateral extension | Crowe et al. [22] | 2008 | 149 | 0.67% total, 1.3% partial | Lateral | Regolo et al. [23] | 2008 | 102 | 60% in first 32 (periareolar incision), 2.8% NAC complication rate thereafter | Primarily PA, then lateral |
Wijayanayagam et al. [24] | 2008 | 64 | 5% total, 16% partial | 97% NA survival in radial, if PA > 1/3 NA circumference blood supply compromised | Stolier et al. [25] | 2008 | 82 | 0% | 6 o’clock radial | Sookhan et al. [26] | 2008 | 18 | 0% total, 10% partial | Inframammary | Petit et al. [27] | 2009 | 1001 | 3.5% total, 5.5% partial | Overlying previous biopsy | Paepke et al. [28] | 2009 | 96 | 1% | Primarily PA, second inframammary |
De Alcantara Filho et al. [29] | 2011 | 353 | 19.5% partial, 3.3% required surgery | |
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