Low rate of complications in nipple-sparing mastectomy for patients with BRCA1 and BRCA2 mutation.

Antônio Luiz Frasson, Ana Beatriz Falcone, Fernanda Barbosa, Alessandra Borba Anton de Souza, Carolina Malhone, Isabela Miranda, Betina Vollbrecht, Monica Adriana Rodriguez Martinez Frasson, Luiza Kobe, Martina Lichtenfels
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Abstract

Background: To describe the indications and outcomes of BRCA mutation carriers undergoing nipple-sparing mastectomy (NSM). Methods: In this retrospective study, 76 BRCA mutation carriers with no cancer who opted to undergo risk reduction NSM or diagnosed with breast cancer (BC) who opted to undergo therapeutic NSM were included. Results: Indications for NSM: cancer treatment (n = 33), bilateral risk reduction (n = 39) and contralateral prophylactic NSM (n = 4). In a mean follow-up of 45 months (median: 30 months), one patient (2.5%) undergoing risk-reducing NSM developed a new BC. One (3%) local, one (3%) ipsilateral axillary and one (3%) distant recurrence were observed in BC patients. No partial or total nipple necrosis occurred. Conclusion: NSM is safe for reducing the risk of BC development in BRCA mutation carriers and for treating cancer.

BRCA1和BRCA2突变患者保留乳头乳房切除术并发症发生率低。
背景:描述BRCA突变携带者接受保留乳头乳房切除术(NSM)的适应症和结果。方法:在这项回顾性研究中,包括76名选择接受风险降低NSM的无癌症BRCA突变携带者或选择接受治疗性NSM的癌症(BC)患者。结果:NSM适应症:癌症治疗(n=33)、双侧风险降低(n=39)和对侧预防性NSM(n=4)。在平均45个月(中位数:30个月)的随访中,一名接受风险降低NSM的患者(2.5%)出现了新的BC。BC患者中观察到一例(3%)局部复发,一例(3%)同侧腋窝复发和一例(300%)远处复发。未出现乳头部分或全部坏死。结论:NSM对降低BRCA突变携带者BC发生风险和治疗癌症是安全的。
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