Breast reconstruction – Nipple-sparing mastectomy

Practice Point

Breast reconstruction – Nipple-sparing mastectomy

Consider nipple-sparing mastectomy for all patients without clinical or radiological nipple involvement but be cautious for patients with the following clinical features: extensive DCIS, significant ptosis (unless staging procedure considered), invasive cancer close to the nipple, large breasts, or the presence of risk factors for skin flap ischaemia (such as smoking, diabetes, or general poor health).

How this guidance was developed

No evidence-based source recommendation was identified for this topic, which was considered an important aspect of care. This practice point was developed using an expert consensus process.

Breast reconstruction – Nipple-sparing mastectomy

Practice Point

Consider nipple-sparing mastectomy for all patients without clinical or radiological nipple involvement but be cautious for patients with the following clinical features: extensive DCIS, significant ptosis (unless staging procedure considered), invasive cancer close to the nipple, large breasts, or the presence of risk factors for skin flap ischaemia (such as smoking, diabetes, or general poor health).

Principles in action
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Safe and quality care

No evidence-based source recommendation was identified for this topic, which was considered an important aspect of care. This practice point was developed using an expert consensus process.