Myth and Truth About Nipple-Sparing Mastectomies
Myth: Nipple-Sparing Mastectomies Are Unsafe
Many believe that nipple-sparing mastectomies pose significant risks for women with a high likelihood of developing breast cancer. This notion is, in fact, incorrect.
Understanding Breast Cancer Risks
Breast cancer often has a hereditary component, often linked to mutations in the breast cancer suppressor gene, known as BRCA. Women who carry these BRCA mutations face a 50% chance of developing breast cancer during their lifetime. Mastectomies serve as surgical interventions that can eliminate the risk associated with these mutations, but they may not be the optimal choice for every patient.
Research Findings on Nipple-Sparing Mastectomies
A study published in JAMA Surgery examined the safety of nipple-sparing mastectomies compared to traditional mastectomy techniques. The research included women who underwent the nipple-sparing procedure between 1996 and 2013, with 346 out of 548 patients choosing this method. The findings revealed that no breast cancer cases developed among the patients during the follow-up period, indicating that nipple-sparing mastectomies are a safe and effective preventive option for women with BRCA mutations.
Reference
Jakub JW, Peled AW, Gray RJ, et al. Oncologic safety of prophylactic nipple-sparing mastectomy in a population with BRCA mutations: A multi-institutional study. JAMA Surg. 2018;153(2):123-129. doi:10.1001/jamasurg.2017.3422