Nipple-Sparing Mastectomy and Immediate Reconstruction with an Acellular Dermal Matrix (ADM): Revision Due to Nipple Necrosis and Secondary Reconstruction with a DIEP Flap

  • Peter Schrenk


The 47-year-old patient was diagnosed with a 12 mm invasive breast cancer (receptor positive, G2, Her-2-neu negative, Ki-67: 20 %) in the upper outer quadrant of the right breast. The patient was previously tested positive for a BRCA 1 mutation and was scheduled for bilateral nipple-sparing mastectomy and immediate reconstruction with implants. The breast was of large size and ptotic (Fig. 44.1a–c). Risk factors were obesity and a smoking history of ten cigarettes/ day.


Sentinel Node Sentinel Node Biopsy Prophylactic Mastectomy Pectoralis Major Muscle Acellular Dermal Matrix 
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Copyright information

© Springer-Verlag Vienna 2015

Authors and Affiliations

  1. 1.Second Department of SurgeryBreast Care Center, Akh – LFKK LinzLinzAustria

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