Az emlobimbó-megtartó mastectomia lehetséges helye a modern emlosebészetben

Translated title of the contribution: Role of nipple sparing mastectomy in modern breast surgery

Zoltán Mátrai, Gusztáv Gulyás, L. Tóth, Sávolt Ákos, Csaba Kunos, Pál Pesthy, Alexandra Bartal, M. Kásler

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Recently an increasing number of reports of clinical experience have been published on nipple-sparing mastectomy. By the preservation of uninvolved skin and the nipple areola complex, this surgical technique greatly facilitates immediate reconstruction and optimal aesthetic outcome. However, the procedure raises serious oncologic concerns regarding the risk of an occult or a newly formed primary tumor due to parenchyma left behind in the nipple and the retroareola. Despite the ever increasing popularity of the method, there is still no evidence based confirmation to it. According to data from scientific literature on nipple-sparing mastectomy, there is no straightforward consequence to be drawn on oncologic safety; therefore the procedure is not generally considered to be alternative to standard mastectomy. In the indication of risk reduction, justification of the intervention seems to be well supported, and is expected to foster a greater rate of acceptance of surgical prophylaxis in patients with higher risk diseases. The procedure should be carried out possibly in the framework of clinical trials, in well selected patients with suitable preoperative and postoperative examinations, applying precise techniques and adequate patient education, according to international guidelines. Further long-term results are needed to form a substantive expert opinion. Authors give a detailed description of the surgical techniques, and provide a wide review of the literature, for the first time in Hungarian language.

Original languageHungarian
Pages (from-to)1233-1249
Number of pages17
JournalOrvosi Hetilap
Volume152
Issue number31
DOIs
Publication statusPublished - Jul 1 2011

Fingerprint

Nipples
Mastectomy
Breast
Literature
Expert Testimony
Patient Education
Risk Reduction Behavior
Esthetics
Language
Clinical Trials
Guidelines
Safety
Skin
Neoplasms

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Az emlobimbó-megtartó mastectomia lehetséges helye a modern emlosebészetben. / Mátrai, Zoltán; Gulyás, Gusztáv; Tóth, L.; Ákos, Sávolt; Kunos, Csaba; Pesthy, Pál; Bartal, Alexandra; Kásler, M.

In: Orvosi Hetilap, Vol. 152, No. 31, 01.07.2011, p. 1233-1249.

Research output: Contribution to journalArticle

Mátrai, Z, Gulyás, G, Tóth, L, Ákos, S, Kunos, C, Pesthy, P, Bartal, A & Kásler, M 2011, 'Az emlobimbó-megtartó mastectomia lehetséges helye a modern emlosebészetben', Orvosi Hetilap, vol. 152, no. 31, pp. 1233-1249. https://doi.org/10.1556/OH.2011.29156
Mátrai, Zoltán ; Gulyás, Gusztáv ; Tóth, L. ; Ákos, Sávolt ; Kunos, Csaba ; Pesthy, Pál ; Bartal, Alexandra ; Kásler, M. / Az emlobimbó-megtartó mastectomia lehetséges helye a modern emlosebészetben. In: Orvosi Hetilap. 2011 ; Vol. 152, No. 31. pp. 1233-1249.
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