Women with extensive DCIS or multifocal cancer who require a mastectomy could consider nipple-sparing mastectomy with immediate reconstruction. The breast skin and nipple are preserved, and the type of reconstruction would depend on the individual patient. If the tumour is close to the nipple, patients could be offered skin-sparing mastectomy, where the nipple is sacrificed as part of the cancer operation. (Hyperlink to reconstruction)

This is a useful option in women with high risk due to family history and an inherited genetic mutation (such as BRCA1, BRCA2, ATM, CHEK2, TP53, PALB2) who wish to consider risk-reducing mastectomy. (Hyperlink to Oncoplastic section)