Objectives: to describe the indications and complications of 41 patients with breast cancer submitted to skin-sparing mastectomy with or without preservation of the areola-papillary complex at a Public Hospital in Brazil.
Analysis of 41 patients who underwent adenomastectomy after a breast cancer diagnosis in a Public
Brazilian Hospital.
Autores: Andressa G. Amorim, Marcellus N. M. Ramos, André Mattar, Jorge Y. Shida, Luiz H. Gebrim.
Institution:
Institution
Women’s Reference Center
Perola Byington Hospital
São Paulo – Brazil
Objectives: to describe the indications and complications of 41 patients with breast cancer submitted to
skin-sparing mastectomy with or without preservation of the areola-papillary complex at a Public Hospital
in Brazil.
Methods: We’ve performed a retrospective analysis of 41 patients diagnosed with breast cancer that were
treated from January 2008 to May 2015 and had adenomastectomy at Pérola Byinton Hospital. Description
data is shown.
Results: The age of the patients ranged from 28 to 62 years, with a mean of 46 years. Invasive ductal
carcinoma was diagnosed in 24 cases (58.4%), the invasive lobular type in 3 cases (7.3%). The other 14
(34.1%) cases were patients with multicentric ductal carcinoma in situ. In the invasive tumors there was
predominance of hormone receptor positive (81.4%). In the preoperative clinical staging predominant was
TisN0M0 in 31.7% cases. The preservation of areola-papillary complex occurred in 28 cases (68.2%). The
sentinel lymph node biopsy it was made in 70.3% cases the invasive tumors. Regarding immediate repair
reconstruction, the expander prosthesis was used in 38 cases (92.6%). Among the complications, there were
no reports of bruising or infection. Extrusion of the expander prosthesis occurred in only 2 cases (4.8%).
After a mean follow-up of 48 months, no local recurrences were reported.
Conclusions: Skin sparing mastectomy with or without preservation of the areola-papillary complex is a
safe option in the oncologic treatment of in situ and invasive cancer (T1 and T2), especially in multicentric
forms in patients with small breasts. Immediate reconstruction was possible in all patients. The main
complication observed was the late extrusion of the prosthesis in 4.8% of cases.
Keywords: breast cancer; adenomastectomy; nipple-sparing mastectomy; skin-sparing mastectomy