August 2018 #PRSJournalClub Wrap-up: Comparing Therapeutic versus Prophylactic Nipple-Sparing Mastectomy: Does Indication Inform Oncologic and Reconstructive Outcomes?

by Casey T. Kraft, MD (@CaseyKraftMD)
Plastic Surgery Resident
The Ohio State University, Columbus, OH


The August edition of #PRSJournalClub created an excellent discussion focusing on nipple-sparing mastectomies, and if outcomes can be predicted based on the indications for performing them. The paper discussed was entitled “Comparing Therapeutic versus Prophylactic Nipple-Sparing Mastectomy: Does Indication Inform Oncologic and Reconstructive Outcomes?” by Frey, Salibian, Karp, and Choi. In this study, the authors found that approximately 40% of nipple-sparing mastectomies are performed for therapeutic indications, and that therapeutic nipple-sparing mastectomies had higher rates of infectious complications and reconstructive failure, as well as locoregional recurrence. They highlight that surgeons should use this information to provide complete education to their patients about the risks and benefits of nipple-sparing mastectomies and subsequent reconstruction. By doing so, they can make an informed decision about their care/reconstruction and choose the best option for each patient. The article can be read for free here.

The article was initially discussed by the 2018 Resident Ambassadors to the PRS Editorial Board Francesco Egro, MD, Nicole Phillips, MD and Ira Savetsky, MD with guest moderator Andrea Pusic, MD. You can listen to the podcast discussion below: 

As always, a fantastic discussion took place on the #PRSJournal Facebook page, on August 19, where plastic surgeons and residents were able to ask questions and discuss different aspects of the paper with all the authors of the article. If you weren’t able to participate, highlights of the discussion are included below.

We hope that you enjoy reading through another excellent #PRSJournalClub discussion, and look forward to everyone participating next month!

Sincerely,

Casey

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