{"id":1,"date":"2013-09-14T20:30:39","date_gmt":"2013-09-14T20:30:39","guid":{"rendered":"http:\/\/www.breastguide.com\/breastcancerblog\/?p=1"},"modified":"2013-12-10T17:08:20","modified_gmt":"2013-12-10T17:08:20","slug":"skin-sparing-mastectomy","status":"publish","type":"post","link":"http:\/\/www.breastguide.com\/breastcancerblog\/skin-sparing-mastectomy\/","title":{"rendered":"Skin Sparing Mastectomy"},"content":{"rendered":"<h3>What is skin sparing mastectomy?<\/h3>\n<p>Removal of breast tissue via a surgical technique which preserves as much of the breast skin as possible. \u00a0Skin sparking mastectomy can be done as a simple, total, or a modified radical mastectomy. \u00a0The goal is to preserve the skin needed for immediate reconstruction by a <a title=\"Modesto Plastic Surgery\" href=\"http:\/\/www.surgerytoday.com\">plastic surgeon<\/a>.<\/p>\n<h3>What is removed during a skin sparing mastectomy?<\/h3>\n<p>Nipple, areola and the original biopsy scar is removed during a skin sparing mastectomy.<\/p>\n<h3>Who can have skin sparing mastectomy?<\/h3>\n<p>Most women can have skin-sparing mastectomies however, it&#8217;s mainly done with the plan of having immediate breast reconstruction with your plastic surgeon.<\/p>\n<h3>When is it not safe to have a skin sparing mastectomy?<\/h3>\n<p>When there is risk of having skin involvement with breast cancer (such as with inflammatory breast cancer.<\/p>\n<h3>Recurrence rates of skin sparing mastectomy vs. winder skin removal<\/h3>\n<p>For early breast cancer the local recurrence rate is from 0-7% which is similar to those with wider skin removal mastectomies.<\/p>\n<h3>What is inflammatory breast cancer?<\/h3>\n<p>Inflammatory breast cancer, or IBC, is considered the most deadly form of breast cancer. \u00a0While some IBC patients have a lump, the majority of patients do not have a lump in the breast. \u00a0The cancer cells are in the lymph vessels blocking normal flow of lymph fluid thus there is swelling and skin dimpling associated. \u00a0There may be flattening and turning inward of the nipple or crusted changes. \u00a0Itching might be a symptom on the skin as well.<\/p>\n<h3><span style=\"font-family: Bitter, Georgia, serif; font-size: 22px; line-height: 1.3;\">What is the difference between simple and total mastectomy?<\/span><\/h3>\n<p>Simple and Total mastectomy are synonymous. \u00a0This procedure involves removing the entire breast tissue without touching the axillary contents.<\/p>\n<h3>What is a modified radical mastectomy?<\/h3>\n<p>The entire breast tissue is surgically removed along with the axillary contents. \u00a0The pectoral muscles are untouched.<\/p>\n<h3><span style=\"line-height: 1.5;\">What is Early Stage Breast Cancer<\/span><\/h3>\n<p>Early stage breast cancer is breast cancer which has not spread beyond the breast to nearby axillary lymph nodes. \u00a0Ductal carcinoma in-sity, stage I, IIA, IIB, and IIIA breast cancer are included as early stage breast cancer. \u00a0The five year overall survival for women with stage I breast cancer is around 88 percent.<\/p>\n<h4>Stage I breast cancer<\/h4>\n<p>Stage I breast cancer involves a tumor size less than 2 cm. \u00a0No outside spread of breast cancer<\/p>\n<h4>Stage II breast cancer<\/h4>\n<p>Stage II breast cancer has a tumor more advanced than stage 1. \u00a0It has one of the following characteristics<\/p>\n<ul>\n<li>Tumor is 2-5 cm in diameter. \u00a0+\/- spread to axillary lymph nodes.<\/li>\n<li>Tumor is &gt;5 cm. \u00a0No spread. \u00a0(Stage IIA)<\/li>\n<li>Tumor is &lt;2 cm. \u00a0Positive for spread to no more than 3 axillary lymph nodes. \u00a0(Stage IIB)<\/li>\n<li>No tumor found in the breast. \u00a0Positive for spread to no more than 3 axillary lymph nodes.<\/li>\n<\/ul>\n<h4>Stage III breast cancer<\/h4>\n<p>Stage III breast cancer is known as locally or regionally advanced breast cancer. \u00a0Some examples<\/p>\n<ul>\n<li>Tumor is larger than 5 cm with positive spread to axillary lymph nodes, but the lymph nodes aren&#8217;t attached to each other. \u00a0Stage IIIA.<\/li>\n<li>Tumor is smaller than 5 cm with positive spread of lymph nodes growing into each other and surrounding tissue. \u00a0Stage IIIA.<\/li>\n<li>Tumor is smaller than 5 cm, but the cancer has spread to lymph nodes above the collar bone. \u00a0Stage IIIB. \u00a0Or tumor of anysize with fixation to skin or chest wall.<\/li>\n<li>Inflammatory breast cancer is considered stage IIIB breast cancer.<\/li>\n<\/ul>\n<h4>Stage IV breast cancer = Metastatic breast cancer<\/h4>\n<p>Stage IV breast cancer is the most advanced form of breast cancer. \u00a0The cancer cells have spread to other areas of the body: \u00a0 Lung, Liver, and Bone.<\/p>\n<h3>What is the T status for TNM staging of breast cancer?<\/h3>\n<p>T = tumor size.<\/p>\n<ul>\n<li>T1 = less than 2 cm diameter for breast cancer<\/li>\n<li>T2 = between 2-5cm<\/li>\n<\/ul>\n<h3>Smoking and flap necrosis with skin sparing mastectomies<\/h3>\n<p>Tissue flap necrosis is a possible complication related to a patient&#8217;s history of smoking as well as previous incisions for <a title=\"Breast Reduction Modesto\" href=\"http:\/\/www.surgerytoday.com\/modesto-plastic-surgery\/modesto-breast-surgery\/breast-reduction\/index.htm\">breast reduction<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is skin sparing mastectomy? Removal of breast tissue via a surgical technique which preserves as much of the breast skin as possible. \u00a0Skin sparking mastectomy can be done as a simple, total, or a modified radical mastectomy. \u00a0The goal is to preserve the skin needed for immediate reconstruction by a plastic surgeon. What is &hellip; <a href=\"http:\/\/www.breastguide.com\/breastcancerblog\/skin-sparing-mastectomy\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Skin Sparing Mastectomy<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,5,9,10,7,4,11,6,8],"tags":[12,15,17,13,16,91,14],"class_list":["post-1","post","type-post","status-publish","format-standard","hentry","category-breast-cancer","category-inflammatory-breast-cancer","category-modified-radical-mastectomy","category-recurrence","category-simple-mastectomy","category-skin-sparing-mastectomy","category-smoking","category-stages-of-breast-cancer","category-total-mastectomy","tag-breast-cancer-staging","tag-breast-reduction","tag-plastic-surgery","tag-recurrence-rates","tag-skin-necrosis","tag-skin-sparing-mastectomy","tag-smoking-2"],"_links":{"self":[{"href":"http:\/\/www.breastguide.com\/breastcancerblog\/wp-json\/wp\/v2\/posts\/1","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.breastguide.com\/breastcancerblog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.breastguide.com\/breastcancerblog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.breastguide.com\/breastcancerblog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.breastguide.com\/breastcancerblog\/wp-json\/wp\/v2\/comments?post=1"}],"version-history":[{"count":4,"href":"http:\/\/www.breastguide.com\/breastcancerblog\/wp-json\/wp\/v2\/posts\/1\/revisions"}],"predecessor-version":[{"id":91,"href":"http:\/\/www.breastguide.com\/breastcancerblog\/wp-json\/wp\/v2\/posts\/1\/revisions\/91"}],"wp:attachment":[{"href":"http:\/\/www.breastguide.com\/breastcancerblog\/wp-json\/wp\/v2\/media?parent=1"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.breastguide.com\/breastcancerblog\/wp-json\/wp\/v2\/categories?post=1"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.breastguide.com\/breastcancerblog\/wp-json\/wp\/v2\/tags?post=1"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}