TITLE:
Skin Sparing Mastectomy in Locally Advanced Breast Cancer: A Possibility?
AUTHORS:
Vijayashree Murthy, K. S. Gopinath, Anand Krishna
KEYWORDS:
Skin Sparing Mastectomy; Locally Advanced Breast Cancer; Primary Reconstruction
JOURNAL NAME:
Surgical Science,
Vol.3 No.4,
April
24,
2012
ABSTRACT: Breast cancer is the second most common cause of cancer death in women in India in spite of advances in the adjuvant treatment of breast cancer. Locally advanced breast cancer (LABC) still represents the major presenting picture in many urban and rural institutions in our country. Skin Sparing Mastectomy (SSM) and primary reconstruction is a popular option for patients with breast cancer. There are similar local and distant recurrences in SSM compared to the traditional non-skin sparing mastectomy. A 57-year-old lady presented with a locally advanced left breast cancer. After undergoing neoadjuvant chemotherapy and a PET-CT to accurately detect residual disease in breast and axilla, she underwent skin sparing mastectomy with nipple-areola complex preservation and primary reconstruction with silicon prosthesis implant over a latissimus dorsi myocutaneous flap for primary reconstruction. SSM in LABC has not been reported in the literature so far. This patient is disease free for the past 24 months.