Nipple-sparing mastectomy in the previously radiated patient

Abstract

There is very limited clinical experience with nipple-sparing mastectomy in previously radiated patients since local recurrences are rare after lumpectomy and radiation therapy. In addition, few previously radiated patients are considered appropriate candidates for nipple sparing mastectomy because of preoperative asymmetry, poor quality of skin, and a known association with a high risk of postoperative complications. Despite a higher risk of complications and less-than-optimal outcomes, the patient satisfaction after these procedures is quite high deeming this operation feasible. To optimize outcome, careful surgical planning in a multidisciplinary approach with meticulous surgical technique is necessary.