Philippine Journal of Surgical Specialties Vol. 77, No. 1, January-June 2022, pp 15-20

Endoscopic Nipple-Sparing Mastectomy for Early Breast Cancer: A Case Series of a Minimally-invasive Technique

Author(s): Clarence Pio Rey C. Yacapin, MD, FPCS; Karen D. Mascardo, MD, FPCS; Judy Carissa M. Atazan, MD, FPCS and Jose Joven V. Cruz, MD, FPCS

This study aimed to share the authors’ preliminary experience with endoscopic nipple-sparing mastectomy in the Philippines. All medical records of patients who underwent endoscopic mastectomy done by the same surgeons in two institutions from March to October 2019 were collected and analyzed. Surgical margin, operating time, blood loss volume, and post-operative complications were noted. Three cases were recorded during the study period. The mean operative time was 341 minutes and the mean blood loss volume was < 20 mL. All cases had negative margins of resection on final histopathology. One patient developed ecchymosis on the axilla, while the other patients had unremarkable post-operative courses. Endoscopic nipple-sparing mastectomy is a potentially safe and feasible alternative in breast cancer management. Further evaluation of the procedure is recommended.

Key words: breast cancer, mastectomy, nipple-sparing, endoscopy