Keywords:
Breast, Oncology, MR, Mammography, Efficacy studies, Safety, Surgery, Neoplasia, Multidisciplinary cancer care, Psycho-oncology
Authors:
R. CAPOCCI1, V. Tacher2, R. Bosc1, J.-L. Totobenazara1, H. Kobeiter1, A. Luciani1, E. MEYBLUM2, T. H. Dao1; 1Créteil/FR, 2PARIS/FR
DOI:
10.26044/ecr2019/C-2627
Results
Demographic characteristics:
Seventeen mastectomies were performed in 17 patients.
Eight left-sided mastectomies and nine right-sided mastectomies were performed.
Ten (59 %) patients were treated with SSM and seven (41 %) with NSM.
None of the planned NSM procedures were converted to SSM.
Histopathological results:
Fourteen (82 %) patients had grade 2 (intermediate grade),
2 (12 %) grade 3 (high grade) and 3 (18 %) patient had grade 1 (low grade) DCIS (Table 2).
Tumor characteristics and NAC involvement are shown in Table 1.
The NAC was involved in 8 (47 %) of all mastectomies,
in particular in 80 % (n= 8) of the SSM patients but none of the NSM patients.
Two out ten false positives (FP) were observed amongst SSM patient,
with suspicious involvement of the NAC on imaging,
not confirmed on histology.
Surgical outcomes
Reconstruction types and surgical outcomes are shown in Table 2.
Fifteen mastectomies were immediately followed by a breast reconstruction.
Only one patient,
especially because she decided to be followed abroad,
never had a reconstruction.
A second one was implanted a prosthesis during a second operationNo nipple necrosis happened.
Follow up evaluation
After a median follow-up of 40.3 months (quartiles 25-75%: 31-47 months),
neither ipsilateral recurrence nor cancer-related death occurred.