Operative Approaches to Nipple-Sparing Mastectomy Indications, Techn

This text is designed to present a comprehensive overview of the evolution, oncologic safety, surgical approaches and outcomes of NSM.  The book is targeted at general surgeons, dedicated breast surgeons, and plastic surgeons.  There is focus fo

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Operative Approaches to Nipple-Sparing Mastectomy

Jay K. Harness • Shawna C. Willey Editors

Operative Approaches to Nipple-Sparing Mastectomy Indications, Techniques, & Outcomes

Editors Jay K. Harness, MD, FACS Center for Cancer Prevention and Treatment St. Joseph Hospital, Orange, CA, USA Clinical Professor of Surgery Department of Surgery University of California Irvine Medical Center Orange, CA, USA

Shawna C. Willey, MD, FACS Professor of Clinical Surgery Director, MedStar Regional Breast Health Program Vice-Chair, Department of Surgery MedStar Georgetown University Hospital Washington, DC, USA

ISBN 978-3-319-43257-1 ISBN 978-3-319-43259-5 DOI 10.1007/978-3-319-43259-5

(eBook)

Library of Congress Control Number: 2016955848 © Springer International Publishing Switzerland 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Foreword

It is a special privilege to write the foreword to this text on nipple-sparing mastectomy edited by Shawna Willey and Jay Harness. It would be hard to overestimate how powerful and revolutionary the adoption of this technique has been to the management of breast cancer. In the first edition published in 1998 of my seminal multidisciplinary textbook, Surgery of the Breast: Principles and Art, there were no chapters on Nipple-Sparing Mastectomy, and the chapter on Prophylactic Mastectomy specifically recommended against retaining the nipple. Although Breast Conservation, where the remaining breast skin and nipple are retained and radiated, had been widely adopted earlier, there was a peculiar resistance regarding preserving the nipple and the breast skin envelope when the entire breast gland had been removed but not radiated. To the best of my knowledge, the first big chink in the anti-nipple preservation armor came wi