: Nipple sparing mastectomy (NSM) affords a better cosmetic result than modified radical mastectomy in the developed countries. This procedure becames a popular in 15 years ago and that was indication for early breast cancer . Vietnam physicans have been successfully for skin sparing mastectomy , however, nipple sparing mastectomy is still an innovated procedure
To asses the effectiveness of this procedure in the field of oncology as well as aesthetics
We carried out a study analysis of 25 breast cancer patients with stage I & II who underwent nipple sparing mastectomy and immediately breast reconstruction by implant or using a pedicled transverse rectus abdominis musculocutaneous (TRAM) flap between 2009 and 2013. Indications, incision selection, postoperative complications, recurrence, distant metastasis were recorded and cometic status by Garbay criteria were assessed.
A total 18 of 25 case was performed by NSM + Implant and 7 of 25 by NSM + TRAM flap. The longest follow up to date is 60 months, there is no case with the nipple areola complex totally or partially necrosed , no local recurence in the skin and chest wall, no recurrence were observed in the nipple areola complex but 01 case recurrence in axilla and 01 case occurred lung metastasis. Only 5/25 of patients reported a partial sensitivity of the nipple areola complex. Evaluation the comestic status by Garbay shown that 100% cases were a scale ranging from 7 ( good ) to 9( excellent ) . All patients in the study group were completely satisfied with the aesthetic results.
Nipple sparing mastectomy was beneficial and safe in the oncological and aesthetic results. The approach is suitable for early breast cancer patients as well as for patients with multiple lesions. This would be a promising surgery in prevention and treatment for breast cancer in Vietnam.