Prospective evaluation of skin and nipple‐areola sensation and patient satisfaction after nipple‐sparing mastectomy. Issue 1 (18th April 2016)

• Record Type: Journal Article
• Authors: Dossett, Lesly A.; Lowe, Janell; Sun, Weihong; Lee, M.C.; Smith, Paul D.; Jacobsen, Paul B.; Laronga, Christine
• Is Part Of: Journal of surgical oncology. Volume 114:Issue 1(2016)
• Page Start: 11
• Page End: 16
• Publication Date: 2016-04-18
• Subjects: nipple‐sparing mastectomy -- nipple sensation -- quality of life -- breast cancer -- outcomes; Cancer -- Surgery -- Periodicals; Neoplasms -- Periodicals; 616
• DOI: 10.1002/jso.24264
• Languages: English
• ISSNs: 0022-4790

Abstract

Abstract : Background: Sensation and quality of life (QOL) before and after nipple sparing mastectomy (NSM) are poorly understood. Methods: Women electing mastectomy with immediate reconstruction and eligible for NSM were prospectively enrolled in a sensation and satisfaction/QOL study. Women self‐selected skin‐sparing mastectomy (SSM) or NSM. Skin sensation testing using Semmes Weinstein monofilaments and patient satisfaction/QOL surveys were administered preoperatively and at 1 year postoperatively. Results: 53 patients were enrolled (n = 38, 72% NSM and n = 15, 28% SSM). Both groups had significant reduction in postoperative skin sensation. For NSM, measurable NAC sensation was preserved in both NAC for 26% of patients and in one NAC for 68%. QOL and satisfaction was similar between groups. Neither group was satisfied with sexual arousal with breast or nipple stimulation after surgery. Conclusion: Patients undergoing SSM and NSM have considerable loss in skin and NAC sensation following surgery. Satisfaction and QOL did not differ between groups. J. Surg. Oncol. 2016;114:11–16 . © 2016 Wiley Periodicals, Inc.