A Study of Involvement of Nipple Areola Complex in Carcinoma Breast to Devise an Algorithm for its Preservation
Published: 2021-04-27
Page: 77-87
Issue: 2021 - Volume 4 [Issue 1]
Anupam Lahiri
*
Department of General Surgery,Central Hospital, South Eastern Railways, Garden Reach, Kolkata, – 700043, India.
Ashwini Kumar Malhotra
Department of General Surgery,Central Hospital, South Eastern Railways, Garden Reach, Kolkata, – 700043, India.
*Author to whom correspondence should be addressed.
Abstract
Aim: This study is conducted to assess the involvement of nipple-areola complex in patients of carcinoma breast who are undergoing mastectomy, to develop criteria to preserve the nipple-areola complex. Thiswould prevent its unnecessary removalwhile promoting its preservation.
Materials and Methods: This prospective study has been carried out in the Department of General Surgery, in SOUTH EASTERN RAILWAY HOSPITAL, KOLKATA, India, between November 2018 to October 2020.The histopathological reports were studied to derive factors predisposing to nipple-areola complex involvement.
Results: Analysis reveals that patients with tumors in multiple quadrants, subareolar location, multifocal or multicentric tumors, large size, advanced grade, Her-2-neu positive with significant lymph nodes, and tumors in the vicinity of the nipple-areola complex are poor candidates for nipple-areola sparing mastectomy.The analysis also reveals that age, BMI, parity, side of breast involved or ER and PR status do not have any bearing on Nipple areola sparing mastectomy.
Conclusion: Nipple areola sparing mastectomy is a viable option in carcinoma breast patients undergoing curative surgery.
Keywords: Nipple areola complex, preservation, mastectomy, predictors