Access the full text.
Sign up today, get DeepDyve free for 14 days.
Abstract • The heterogeneity of human breast carcinoma appears to be a cumulative interrelationship of genetic and environmental factors that may be identifiable with a high risk for carcinogenesis. Until breast cancer prevention is realized, one-stage total ductal-glandular mastectomy with immediate reconstruction may be offered as an alternative to simple mastectomy for women at high risk for developing cancer. This technique affords the complete extirpation of breast tissue at a deep plane with flaps that are identical in thickness to those elevated in classic mastectomies for invasive cancer. Breast reconstruction with submuscular prostheses in a one-stage procedure gives an aesthetically acceptable result. The role of ductal-glandular mastectomy as prophylaxis for invasive carcinoma warrants future prospective trials. (Arch Surg 1986;121:221-225) References 1. Corso PF, Zubiri JS: A breast-halving incision for subcutaneous mastectomy . Plast Reconstr Surg 1975;56:1-4.Crossref 2. Freeman BS, Wiemer DR: Total glandular mastectomy . Plast Reconstr Surg 1978;62:167-172.Crossref 3. Spira M: Subcutaneous mastectomy in the large ptotic breast . Plast Reconstr Surg 1977;59:200-205.Crossref 4. Georgiade NG, Hyland W: Technique for subcutaneous mastectomy and immediate reconstruction in the ptotic breast . Plast Reconstr Surg 1975;56:121-128.Crossref 5. Horton CE, Carraway JH: Total mastectomy with immediate reconstruction for premalignant disease , in Goldwyn RM (ed): Plastic and Reconstructive Surgery of the Breast . Boston, Little Brown & Co Inc, 1976, pp 459-464. 6. Saracci R, Repetto F: Epidemiology of breast cancer . Semin Oncol 1978;5:342-350. 7. Bland KI, Buchanan JB, Mills DL, et al: Analysis of breast cancer screening in women less than 50 years of age . JAMA 1981;245:1037-1042.Crossref 8. Bland KI, Kuhns JG, Buchanan JB, et al: A clinicopathologic correlation of mammographic parenchymal patterns and associated risk factors for human mammary carcinoma . Ann Surg 1982;195:582-594.Crossref 9. Sharpiro S: Efficacy of breast cancer screening , in Miller AB (ed): Screening in Cancer: A Report of a UICC International Workshop . Geneva, Union Internationale Contre le Cancer, 1978, pp 133-157. 10. Smart CR, Beahrs OH: Breast cancer screening results as viewed by the clinician . Cancer 1979;43:851-856.Crossref 11. Bennett SE, Lawrence RS, Fleischmann KH, et al: Profile of women practicing breast self-examination . JAMA 1983;249:488-491.Crossref 12. Brinton LA, Hoover R, Fraumeni JF Jr: Epidemiology of minimal breast cancer . JAMA 1983;249:483-487.Crossref 13. Bain C, Speizer FE, Rosner B, et al: Family history of breast cancer as a risk indicator for the disease . Am J Epidemiol 1980;111:301-308. 14. Kelly PT: Refinements in breast cancer risk analysis . Arch Surg 1981;116:364-365.Crossref 15. McCredie JA, Inch WR, Alderson M: Consecutive primary carcinomas of the breast . Cancer 1975;35:1472-1477.Crossref 16. Pennisi VR: Subcutaneous mastectomy and fibrocystic disease of the breast . Clin Plast Surg 1976;3:205-216. 17. Shorey WD: Carcinoma in situ of the breast . Surg Clin North Am 1971;51: (1) :175-182. 18. Haagensen CD, Lane N, Lattes R: Neoplastic proliferation of the epithelium of the mammary lobules: Adenosis, lobular neoplasia and small cell carcinoma . Surg Clin North Am 1973;52:497-524. 19. Pennisi VR, Capozzi A: Treatment of chronic cystic disease of the breast by subcutaneous mastectomy . Plast Reconstr Surg 1973;52:520-524.Crossref 20. Goldman LD, Goldwyn RM: Some anatomical considerations of subcutaneous mastectomy . Plast Reconstr Surg 1973;51:501-505.Crossref 21. Klamer TW, Donegan WL, Max MH: Breast tumor incidence in rats after partial mammary resection . Arch Surg 1983;118:933-935.Crossref 22. Andersen JA, Pallesen RM: Spread to the nipple and areola in carcinoma of the breast . Ann Surg 1979;189:367-372.Crossref 23. Quinn RH, Barlow JF: Involvement of the nipple and areola by carcinoma of the breast . Arch Surg 1981;116:1139-1140.Crossref 24. Smith J, Payne WS, Carney JA: Involvement of the nipple and areola in carcinoma of the breast . Surg Gynecol Obstet 1976;143:546-548. 25. Parry RG, Cochran TC, Wolfort FG: When is there nipple involvement in carcinoma of the breast? Plast Reconstr Surg 1977;59:535-537.Crossref 26. Stiles HJ: Contributions to the surgical anatomy of the breast: With a note of the 'nitric acid method' of studying its normal and pathological anatomy . Edinburgh Med J 1892;37:1099-1112. 27. Krohn IT, Cooper DR, Bassett JG: Radical mastectomy: Thick vs thin skin flaps . Arch Surg 1982;117:760-763.Crossref 28. Schwartz GF: Breast reconstruction following mastectomy for malignant disease: A surgical oncologist's point of view . Clin Plast Surg 1979;6:5-10. 29. Gilliland MD, Barton RM, Copeland EM III: The implication of local recurrence of breast cancer as the first site of therapeutic failure . Ann Surg 1983;197:284-287.Crossref 30. Gilliland MD, Larson DL, Copeland EM III: Appropriate timing for breast reconstruction . Plast Reconstr Surg 1983;72:335-340.Crossref 31. Buehler PK: Patient selection for prophylactic mastectomy: Who is at high risk? Plast Reconstr Surg 1983;72:324-334.Crossref 32. Kinne DW, DeCosse JJ: New developments in the management of breast disease . Surg Ann 1981;13:163-184. 33. McDivitt RW: Breast carcinoma . Hum Pathol 1978;9:3-21.Crossref 34. Hutchinson WB, Thomas DB, Hamlin WB, et al: Risk of breast cancer in women with benign breast disease . J Natl Cancer Inst 1980;65:13-20. 35. Wellings SR, Jensen HM, Marcum RG: An atlas of subgross pathology of the human breast with special reference to possible precancerous lesions . J Natl Cancer Inst 1975;55:231-273. 36. Black MM, Barclay THC, Cutler SJ, et al: Association of atypical characteristics of benign breast lesions with subsequent risk of breast cancer . Cancer 1972;29:338-343.Crossref 37. Love SM, Gelman RS, Silen W: Fibrocystic 'disease' of the breast: A nondisease? N Engl J Med 1982;307:1010-1014.Crossref 38. Dupont WD, Page DL: Risk factors for breast cancer in women with proliferative breast disease . N Engl J Med 1985;312:146-151.Crossref 39. Page DL, Vander Zwaag R, Rogers LW, et al: Relation between component parts of fibrocystic disease complex and breast cancer . J Natl Cancer Inst 1978;61:1055-1063. 40. Haagensen CD, Lane N, Lattes R, et al: Lobular neoplasia (so-called lobular carcinoma in situ) of the breast . Cancer 1978;42:737-769.Crossref 41. Petrakis NL: Genetic factors in the etiology of breast cancer . Cancer 1977;39:2709-2715.Crossref
Archives of Surgery – American Medical Association
Published: Feb 1, 1986
Access the full text.
Sign up today, get DeepDyve free for 14 days.