Skin Sparing Mastectomy with Immediate Breast Reconstruction by Augmentation Flap in Early Breast Cancer
Journal of Medical Science And clinical Research
Skin sparing mastectomy (SSM) refers to the maximum preservation of patients own skin with the removal of only nipple-areola complex and any breast skin involved with or close to the tumor. The aim of the study was to analyze the applicability of SSM with IBR, comparison of breast conserving surgery without reconstruction and SSM with IBR in terms of patient satisfaction, psychological impact and local recurrence rate, and follow up of patients in prospective group to look for cosmesis, breast
... r cosmesis, breast mound, breast skin color and flap necrosis. 20 patients of early breast cancer in prospective group were subjected to SSM and IBR and compared with all the patients of early breast cancer who were admitted in the Department of General Surgery for breast conserving surgery. The mean age in the prospective group was 43.7 years with a mean hospital stay of 4.8 days. Most (60%) of the patients were in stage II. 95% of the patients were having duct cell carcinoma on FNAC. In the prospective group, all the patients were subjected to SSM and IBR by Latissimus dorsi myocutaneous flap followed by post-operative chemotherapy and radiotherapy. In prospective group, none of the patients had local recurrence, 90% of the patient had positive psychological impact, 85% of the patients had good satisfaction and 75% of the patients had good post-reconstruction cosmesis. It was concluded that SSM is oncologically safe and SSM and IBR are appropriate treatment for patients with early breast cancer; the use of SSM has improved breast reconstruction outcomes and has thereby enhanced the quality of life of our patients.