Preservation of the nipple-areolar complex during subcutaneous mastectomy: A surgical and diagnostic method

doi:10.5306/wjco.v16.i5.104398

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May 24, 2025 (publication date) through May 19, 2025

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World Journal of Clinical Oncology

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2218-4333

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Clin Oncol. May 24, 2025; 16(5): 104398
Published online May 24, 2025. doi: 10.5306/wjco.v16.i5.104398

Preservation of the nipple-areolar complex during subcutaneous mastectomy: A surgical and diagnostic method

Anna S Sukhotko, Anna Bumbu, Serghei Covantsev

Anna S Sukhotko, Department of General Oncology, Botkin Hospital, Moscow 125284, Russia

Anna Bumbu, Department of Oncology, Botkin Hospital, Moscow 125284, Russia

Serghei Covantsev, Department of Clinical Research and Development, Botkin Hospital, Moscow 125284, Russia

Author contributions: Sukhotko AS and Covantsev S designed and directed the project; Sukhotko AS, Covantsev S, Bumbu A performed the procedures; Sukhotko AS and Bumbu A analysed the results; Sukhotko AS, Bumbu A and Covantsev S wrote the article. All authors have read and agree with the final version of the manuscript.

Conflict-of-interest statement: The authors declare that they do not have any conflict of interest.

Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Serghei Covantsev, MD, Department of Clinical Research and Development, Botkin Hospital, 2^nd Botkin Ave, Moscow 125284, Russia. kovantsev.s.d@gmail.com

Received: December 20, 2024
Revised: March 11, 2025
Accepted: March 18, 2025
Published online: May 24, 2025
Processing time: 151 Days and 9.8 Hours

Core Tip

Core Tip: Simultaneous oncological and reconstructive plastic surgery on the mammary gland in the treatment of cancer is currently one of the important stages in the psychological rehabilitation of patients. Flap necrosis during oncoplastic surgery can compromise the procedure. Unfortunately, this is a frequent complication in oncoplastic surgery. Doppler ultrasonography imaging, indocyanine green imaging and cover of the breast implant with inferior mammary ligament can provide better outcomes in patients who undergo subcutaneous mastectomy for breast cancer.