SKINI - Radicality of Skin-Sparing and Nipple-Sparing Mastectomy

Not Applicable

Completed

• Conditions: Surgery

• Registration Number: NCT03470909
• Lead Sponsor: Brust-Zentrum AG

Brief Summary

Prospective collection of health related personal data and biological material (tissue biopsy) in patients undergoing mastectomy.

Detailed Description

In this prospective, multi-center trial patients undergoing mastectomy and fulfilling inclusion criteria receive additional biopsies from the remaining skin envelope in order to quantify the amount of residual breast tissue.

Since the investigators will assess, 142 breasts will be investigated. This means a maximum of n=142 patients will be included (corresponding to a minimum of n=71 patient).

On the specimen additional histological sections in radial direction will be performed.

The aim of the study is to evaluate the quality of Skin- Sparing and Nipple-Sparing Mastectomy. On each predefined location in the wound cavity the investigators will investigate where residual breast tissue (RBT) will be found or not. If no RBT can be detected at all predefined breast locations this breast will be classified as having no RBT (=RBT negative). If breast tissue can be detected the investigators have a RBT positive breast.

Study Timeline

• Study Start: 2016-04-12
• Primary Completion: 2017-08-04
• Study Completion: 2017-08-04
• Status Verified: 2018-03
• Study First Submitted: 2018-03-05
• Study First Submitted QC: 2018-03-13
• Study First Posted: 2018-03-20
• Last Update Submitted: 2018-03-20
• Last Update Posted: 2018-03-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 160

Inclusion Criteria

• Patients undergoing uni- or bilateral Skin-Sparing or Nipple-Sparing mastectomy
• Female participants ≥ 18 years of age
• The subject was informed on the project and gave her written informed consent to use her data and samples for this project.

Exclusion Criteria

• Not fulfilling inclusion criteria

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Detection of residual breast tissue (RBT)	20 months	Each biopsy specimen will be histopathologically assessed for the presence of residual breast tissue (RBT), i.e. in case of SSM 10 biopsy specimens (points A-K) and in case of NSM 14 biopsy specimens (points A-O).; A mastectomy is defined as RBT-positive whenever residual breast tissue will be detected in one or more biopsies. RBT will be assessed as binary dependent variable (0: no RBT; 1: at least one probe with positive breast tissue detection) and correlated with patient- and therapy-related factors, including age, BMI, breast weight, side of mastectomy (left vs. right), type of mastectomy (SSM vs. NSM), skin flap necrosis, indication for mastectomy, axilla surgery, preoperative treatment, surgeon, incision type as well as distance between surface of removed breast and glandular tissue.; Presence of RBT will also be assessed with regard to the distribution within the points A-O and the percentage of RBT-positive biopsies of the entity of all biopsies.

Secondary Outcome Measures

Name	Time	Method
Distance between surface of the removed breast and glandular tissue	20 months	Five additional incisions will be taken and marked on the mastectomy specimens (A2-E2), positioned in radial direction and opposite to the biopsy points A-E. The distance will be measured by the pathologist in mm.; Outcome measurements will be the distribution of distances within the points A2-E2 (Friedman-Test), the correlation between distance points A2-E2 and corresponding biopsy points A to E as well as the correlation of the distance with RBT and with patient- and therapy-related factors (linear regression).
Detection of residual disease	20 months	Each biopsy specimen will be histopathologically assessed for the presence of residual disease: In case of SSM 10 biopsy specimens (points A-K) and in case of NSM 14 biopsy specimens (points A-O).; The measurement of this outcome will be carried out in a descriptive way of the percentage of biopsies with residual disease, because a low number of residual disease-positive biopsies will be expected.
Correlation of patient- and therapy-related factors with residual breast tissue (RBT) and with distance between surface of removed breast and glandular tissue	20 months	Comparisons of patient- and therapy-related variables between SSM and NSM will be done with χ2 - and Student's t-tests for equal or unequal variances, wherever applicable. Forward-and backward logistic regression will be used to assess the influence of putative risk factors on RBT (binary dependent variable; 0: no RBT; 1: at least one probe with positive breast tissue detection). Variables will be included at P \< 0.05 and excluded at P \> 0.1. For all tests, statistical significance will be assumed at P ≤ 0.05.

Trial Locations

Locations (1)

Brust-Zentrum AG; 🇨🇭 Zürich, Switzerland