Nipple Sparing Mastectomy - Cosmetic Outcomes

NCT ID: NCT01002014

Last Updated: 2022-04-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-01-21

Study Completion Date

2018-09-20

Brief Summary

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The purpose of this study is to observe the cosmetic outcomes, patient satisfaction, and complications after skin sparing mastectomy with preservation of the nipple areolar complex.

Detailed Description

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The outcomes will be observed in patients with both known cancer diagnosis and in those with indications for prophylactic mastectomy. The cosmetic appearance and complications will be followed through several post operative visits throughout the duration of the study. This study is conducted in conjunction with the plastic and reconstructive surgeons who will be performing the breast reconstruction procedures. Patient satisfaction will be measured via survey format. In addition, local recurrence rates will be compared to patients undergoing traditional mastectomy.

Conditions

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Breast Cancer Breast Reconstruction Cosmesis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Nipple Sparing Mastectomy

Patients who undergo nipple sparing mastectomy with preservation of the nipple areolar complex.

Group Type EXPERIMENTAL

Nipple Sparing Mastectomy

Intervention Type PROCEDURE

Skin sparing mastectomy with preservation of the nipple areolar complex

Interventions

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Nipple Sparing Mastectomy

Skin sparing mastectomy with preservation of the nipple areolar complex

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients requiring mastectomy for cancer and/or prophylaxis
* Age greater than or equal to 18 at time of surgery
* BMI less than or equal to 35
* If mastectomy is indicated for removal of breast cancer, tumor is clinically T1 or T2

Exclusion Criteria

* Currently smoking
* Prior radiation to the affected breast
* Systemic lupus erythematosus
* Central tumor location and/or tumor within 2 cm of NAC
* Paget's disease of the nipple
* Clinical evidence of tumor involvement in the nipple
* Clinical evidence of axillary nodal tumor involvement
* Lymphovascular invasion of the tumor on core biopsy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Wake Forest University Health Sciences

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Richard L White, MD

Role: PRINCIPAL_INVESTIGATOR

Carolinas Healthcare

Locations

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Levine Cancer Institute

Charlotte, North Carolina, United States

Site Status

Countries

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United States

References

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Vlajcic Z, Zic R, Stanec S, Lambasa S, Petrovecki M, Stanec Z. Nipple-areola complex preservation: predictive factors of neoplastic nipple-areola complex invasion. Ann Plast Surg. 2005 Sep;55(3):240-4. doi: 10.1097/01.sap.0000171680.49971.85.

Reference Type BACKGROUND
PMID: 16106159 (View on PubMed)

Crowe JP, Patrick RJ, Yetman RJ, Djohan R. Nipple-sparing mastectomy update: one hundred forty-nine procedures and clinical outcomes. Arch Surg. 2008 Nov;143(11):1106-10; discussion 1110. doi: 10.1001/archsurg.143.11.1106.

Reference Type BACKGROUND
PMID: 19015470 (View on PubMed)

Crowe JP Jr, Kim JA, Yetman R, Banbury J, Patrick RJ, Baynes D. Nipple-sparing mastectomy: technique and results of 54 procedures. Arch Surg. 2004 Feb;139(2):148-50. doi: 10.1001/archsurg.139.2.148.

Reference Type BACKGROUND
PMID: 14769571 (View on PubMed)

Sacchini V, Pinotti JA, Barros AC, Luini A, Pluchinotta A, Pinotti M, Boratto MG, Ricci MD, Ruiz CA, Nisida AC, Veronesi P, Petit J, Arnone P, Bassi F, Disa JJ, Garcia-Etienne CA, Borgen PI. Nipple-sparing mastectomy for breast cancer and risk reduction: oncologic or technical problem? J Am Coll Surg. 2006 Nov;203(5):704-14. doi: 10.1016/j.jamcollsurg.2006.07.015. Epub 2006 Sep 11.

Reference Type BACKGROUND
PMID: 17084333 (View on PubMed)

Stolier AJ, Sullivan SK, Dellacroce FJ. Technical considerations in nipple-sparing mastectomy: 82 consecutive cases without necrosis. Ann Surg Oncol. 2008 May;15(5):1341-7. doi: 10.1245/s10434-007-9753-5. Epub 2008 Feb 7.

Reference Type BACKGROUND
PMID: 18256883 (View on PubMed)

Wijayanayagam A, Kumar AS, Foster RD, Esserman LJ. Optimizing the total skin-sparing mastectomy. Arch Surg. 2008 Jan;143(1):38-45; discussion 45. doi: 10.1001/archsurg.143.1.38.

Reference Type BACKGROUND
PMID: 18209151 (View on PubMed)

Banerjee A, Gupta S, Bhattacharya N. Preservation of nipple-areola complex in breast cancer--a clinicopathological assessment. J Plast Reconstr Aesthet Surg. 2008 Oct;61(10):1195-8. doi: 10.1016/j.bjps.2007.08.005. Epub 2007 Sep 27.

Reference Type BACKGROUND
PMID: 17901007 (View on PubMed)

Loewen MJ, Jennings JA, Sherman SR, Slaikeu J, Ebrom PA, Davis AT, Fitzgerald TL. Mammographic distance as a predictor of nipple-areola complex involvement in breast cancer. Am J Surg. 2008 Mar;195(3):391-4; discussion 394-5. doi: 10.1016/j.amjsurg.2007.12.020.

Reference Type BACKGROUND
PMID: 18207131 (View on PubMed)

Laronga C, Kemp B, Johnston D, Robb GL, Singletary SE. The incidence of occult nipple-areola complex involvement in breast cancer patients receiving a skin-sparing mastectomy. Ann Surg Oncol. 1999 Sep;6(6):609-13. doi: 10.1007/s10434-999-0609-z.

Reference Type BACKGROUND
PMID: 10493632 (View on PubMed)

Gerber B, Krause A, Reimer T, Muller H, Kuchenmeister I, Makovitzky J, Kundt G, Friese K. Skin-sparing mastectomy with conservation of the nipple-areola complex and autologous reconstruction is an oncologically safe procedure. Ann Surg. 2003 Jul;238(1):120-7. doi: 10.1097/01.SLA.0000077922.38307.cd.

Reference Type BACKGROUND
PMID: 12832974 (View on PubMed)

Fitzal F. Can nipple-sparing mastectomy and immediate breast reconstruction with modified extended latissimus dorsi muscular flap improve the cosmetic and functional outcome of patients with breast cancer? World J Surg. 2008 Mar;32(3):499; author reply 500-1. doi: 10.1007/s00268-007-9268-z. No abstract available.

Reference Type BACKGROUND
PMID: 17952495 (View on PubMed)

Carlson GW, Losken A, Moore B, Thornton J, Elliott M, Bolitho G, Denson DD. Results of immediate breast reconstruction after skin-sparing mastectomy. Ann Plast Surg. 2001 Mar;46(3):222-8. doi: 10.1097/00000637-200103000-00003.

Reference Type BACKGROUND
PMID: 11293510 (View on PubMed)

Lowery JC, Wilkins EG, Kuzon WM, Davis JA. Evaluations of aesthetic results in breast reconstruction: an analysis of reliability. Ann Plast Surg. 1996 Jun;36(6):601-6; discussion 607. doi: 10.1097/00000637-199606000-00007.

Reference Type BACKGROUND
PMID: 8792969 (View on PubMed)

Other Identifiers

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LCI NAC-SSM

Identifier Type: -

Identifier Source: org_study_id

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