12 doctors weighed in:
Is nipple sparing mastectomy safe for brca 2?
12 doctors weighed in

Dr. Barry Rosen
Surgery
6 doctors agree
In brief: Yes
Many studies have been published demonstrating this option to be safe, both for treatment of breast cancer and prevention in women with brca mutations.
No surgery will take the risk of subsequent breast cancer down to zero--there is always some breast tissue left behind, albeit microscopic. Therefore, it stands to reason that the more left behind, the higher the risk; yet, it remains quite low.

In brief: Yes
Many studies have been published demonstrating this option to be safe, both for treatment of breast cancer and prevention in women with brca mutations.
No surgery will take the risk of subsequent breast cancer down to zero--there is always some breast tissue left behind, albeit microscopic. Therefore, it stands to reason that the more left behind, the higher the risk; yet, it remains quite low.
Dr. Barry Rosen
Dr. Barry Rosen
Thank
1 comment
Dr. Maggie Dinome
Nipple-sparing mastectomy is a very aesthetic and effective way of reducing breast cancer risk in BRCA positive patients. I agree with Dr. Rosen!
Dr. Regina Hampton
Breast Surgery
3 doctors agree
In brief: Yes
Nipple sparing mastectomy-where the nipple is preserved but the breast tissue is removed-is a great option for brca 2 patients.
Prior to the surgery, cancer should be ruled out. If there is cancer present, it should be away from the nipple. The results can be great.

In brief: Yes
Nipple sparing mastectomy-where the nipple is preserved but the breast tissue is removed-is a great option for brca 2 patients.
Prior to the surgery, cancer should be ruled out. If there is cancer present, it should be away from the nipple. The results can be great.
Dr. Regina Hampton
Dr. Regina Hampton
Thank
1 comment
Dr. Ed Kaplan
Although the above is a true answer, there is more risk with cancer recurrence when part of the breast is spared. Although it may be easier to monitor, cancer can occur in the nipple area and this could be a significant risk in anyone with breast cancer, but especially in BRCA mutation carriers. Many therefore do not recommend it.
Dr. Todd Sisto
Breast Surgery
In brief: Yes
but safety can vary with breast size: the smaller the safer, in general- if by safety you refer to the aesthetic outcome (I'm assuming you're including immediate reconstruction with acellular dermal matrix and implants in the equation).
Serious complications are usual in general and depends mostly on physiologic health rather than age per se.

In brief: Yes
but safety can vary with breast size: the smaller the safer, in general- if by safety you refer to the aesthetic outcome (I'm assuming you're including immediate reconstruction with acellular dermal matrix and implants in the equation).
Serious complications are usual in general and depends mostly on physiologic health rather than age per se.
Dr. Todd Sisto
Dr. Todd Sisto
Thank
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