One of the more notable surgical advances in breast cancer treatment and prevention is nipple sparing mastectomy. This is a surgical technique similar to the traditional mastectomy that removes the whole breast, but unique in that it spares the skin, nipple and areola. This is then followed by immediate reconstruction.
While our goal in breast cancer treatment is limited surgery and breast preservation, at least 25% of patients will still require, or desire, mastectomy. By preserving the nipple, the psychological burden of mastectomy is greatly reduced. The nipple is central to the concept of breast preservation, and in properly selected patients, nipple-sparing mastectomy can provide the best treatment and cosmesis.
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