Recurrence of Breast Cancer Following Skin Sparing Mastectomies after a 3-Year Follow-up

Introduction: Retrospective study of Recurrences after Skin Sparing Mastectomies (SSM) in Breast Cancer patients in Pinderfields Hospital Wakefield, District Hospital, UK. We reviewed our cases over the period of 3 years from 31/05/2007 to 31/05/2010 and had a minimal follow up of 36 months. Results: Total 59 SSM were performed on 57 patients with mean follow up of 51 months and maximum follow up of 72 months. Distribution of cancers included DCIS -26, Invasive-33 cases. Total number of SNB-33(56%), ANS-14(24%), and ANC-16 (27%). Only 8 patients were found to have positive nodes. Receptors ER/PR Positive-28 (47.5%), Triple negative-9 (15.25%) and HER 2 Positive-8 (13.6%). Anterior margins involved in 1(1.7%) and Posterior Margins involved in 1(1.7%). Local recurrence rates in Pure DCIS -1/26 (3.8%), Invasive -2/33 (6.1%) and Total Recurrences 3/59 (5.1%). Mean Recurrence time was 31 months. Conclusion: All of the local recurrences occurred in the scar or in the skin overlying the site, suggesting that a change in practice to remove the skin overlying the tumour may be warranted.