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Articles Published Processes
8/22/2014 5:28:00 PM | Browse: 865 | Download: 701
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Received |
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2013-12-20 10:43 |
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Peer-Review Started |
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2013-12-22 19:11 |
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To Make the First Decision |
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2014-01-08 14:50 |
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Return for Revision |
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2014-01-20 20:14 |
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Revised |
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2014-01-24 01:23 |
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Second Decision |
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2014-05-16 17:26 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2014-05-16 17:46 |
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Articles in Press |
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2014-05-23 09:10 |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2014-07-18 10:08 |
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Publish the Manuscript Online |
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2014-08-01 15:17 |
Category |
Surgery |
Manuscript Type |
Topic Highlights |
Article Title |
Immediate nipple-areola-sparing mastectomy reconstruction: An update on oncological and reconstruction techniques
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Manuscript Source |
Invited Manuscript |
All Author List |
Alexandre Mendonça Munhoz, Eduardo Montag, José Roberto Filassi and Rolf Gemperli |
Funding Agency and Grant Number |
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Corresponding Author |
Alexandre Mendon?a Munhoz, MD, Division of Plastic Surgery, Hospital Sírio-Libanês, Rua Mato Grosso, 306 cj.1705-1706, Sao Paulo, SP 01239-040, Brazil. munhozalex@uol.com.br |
Key Words |
Breast reconstruction; Skin-sparing mastectomy; Nipple-sparing mastectomy; Outcome; Complications; Silicone breast implants; Tissue expanders; Oncoplastic surgery |
Core Tip |
In selected patients, nipple-sparing mastectomy (NSM) has allowed an adequate oncologic control with satisfactory aesthetic outcome. In addition, utilizing the native breast skin optimizes the aesthetic outcome of the reconstructed breast and minimizes post-mastectomy deformity. The satisfactory results are due to a close collaboration with the oncological surgical team in terms of incision selection and mastectomy flap dissection. In general, choice of reconstructive procedure requires careful consideration of various patient related factors, including: breast volume, degree of ptosis, areolar size, patient preference and expectation, and surgeon experience. With careful patient selection and well-planned surgical technique, NSM can provide satisfactory outcomes with acceptable complication rates. However, available data demonstrate that NSM can be safely performed for breast cancer treatment in selected cases. Although NSM reduces the psychological trauma associated with nipple-areola complex resection, the oncologic safety as well as functional and aesthetic outcomes needs additional investigation. Thus, additional clinical studies and longer follow-up are necessary to define consistent selection criteria for NSM. |
Publish Date |
2014-08-01 15:17 |
Citation |
Munhoz AM, Montag E, Filassi JR, Gemperli R. Immediate nipple-areola-sparing mastectomy reconstruction: An update on oncological and reconstruction techniques. World J Clin Oncol 2014; 5(3): 478-494 |
URL |
http://www.wjgnet.com/2218-4333/full/v5/i3/478.htm |
DOI |
http://dx.doi.org/10.5306/wjco.v5.i3.478 |
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