Skin-sparing mastectomy with immediate breast reconstruction: A critical analysis of local recurrence

PURPOSE The purpose of this study was to provide follow-up data regarding the incid ence of local breast cancer recurrence in patients undergoing skin-sparing mastectomy Versus conventional non-skin-sparing mastectomy methods. PATIENTS AND METHODS A retrospective follow-up study and analysis were performed of patients who underwent mastectomies for invasive breast cancer at The New York Presbyte rian Hospital, Cornell University Medical College and Strang-Cornell Breast Center between 1990 and 1998. RESULTS A total of 198 patients were identified in this study, and the mean follow- up was 49 months. This group included 71 patients who underwent skin-sparin g mastectomy and 127 who underwent non-skin-sparing mastectomy procedures. No statistical differences in local recurrence rates were demonstrated betw een patients treated with skin-sparing mastectomy and those who underwent n on-skin-sparing mastectomy. Local recurrence was present in four of 71 (5.6 %) patients undergoing skin-sparing mastectomy and in five of 127 (3.9%) of those undergoing non-skin-sparing mastectomy. CONCLUSIONS The use of skin-sparing mastectomy does not lead to an increase in local re currence rates when compared with conventional non-sparing mastectomies and provides for improved aesthetic results after immediate reconstruction.