Published in
Dove Press, Breast Cancer: Targets and Therapy, p. 179
DOI: 10.2147/bctt.s78705
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Importance of perforating vessels in nipple-sparing mastectomy: An anatomical description
,
Stefano Maggi,
Laura Bersigotti,
Valeria Vitale,
Gianni Lazzarin,
Emiliano Nuccetelli,
Camilla Romano,
Laura Campanella,
Lara Cristiano,
Alessandra Bartoloni,
Giuseppe Argento
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Abstract
Nipple-sparing mastectomy (NSM), understood as an oncologically valid procedure, is relatively new, and is an evolution of traditional mastectomy, particularly in relation to breast-conserving surgery. The anterior perforating branches are responsible for the cutaneous vascularization of the breast skin, and their preservation is a fundamental step to avoid possible postoperative necrosis. Therefore, evaluating the potential complications of cancer-related reconstructive surgical procedures such as NSM, both the distance of the tumoral lesion from the skin and the surgical incision site should be carefully considered. The preferred site of incision corresponds to the inframammary fold or possibly the periareolar area.