Prospective evaluation of skin and nipple-areola sensation and patient satisfaction after nipple-sparing mastectomy.
J Surg Oncol
; 114(1): 11-6, 2016 Jul.
Article
em En
| MEDLINE
| ID: mdl-27087574
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;11411-16. © 2016 Wiley Periodicals, Inc.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Qualidade de Vida
/
Fenômenos Fisiológicos da Pele
/
Tato
/
Imagem Corporal
/
Mastectomia Subcutânea
/
Satisfação do Paciente
/
Mamilos
Tipo de estudo:
Observational_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Middle aged
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article