Local recurrences after DIEP reconstruction of the breast - Epidemiology and strategies for treatment.

Autor: Abdallah A; Protestant Hospital Gelsenkirchen, Department of Senology/Breast Centre Ruhr Area, Munckelstraße 27, 45879 Gelsenkirchen, Germany., Andree C; Department of Plastic Surgery, Sana Hospital Gerresheim, Gräulinger Str. 120, 40625 Düsseldorf, Germany., Munder B; Department of Plastic Surgery, Sana Hospital Gerresheim, Gräulinger Str. 120, 40625 Düsseldorf, Germany., Hagouan M; Department of Plastic Surgery, Sana Hospital Gerresheim, Gräulinger Str. 120, 40625 Düsseldorf, Germany., Janku D; Department of Plastic Surgery, Sana Hospital Gerresheim, Gräulinger Str. 120, 40625 Düsseldorf, Germany., Wolter A; Department of Plastic Surgery, Sana Hospital Gerresheim, Gräulinger Str. 120, 40625 Düsseldorf, Germany; In cooperation with the Faculty of Health at Witten/Herdecke University, Germany., Fertsch S; Department of Plastic Surgery, Sana Hospital Gerresheim, Gräulinger Str. 120, 40625 Düsseldorf, Germany; In cooperation with the Faculty of Health at Witten/Herdecke University, Germany., Musmann R; Department of Plastic Surgery, Sana Hospital Gerresheim, Gräulinger Str. 120, 40625 Düsseldorf, Germany., Papadopoulos S; Protestant Hospital Gelsenkirchen, Department of Senology/Breast Centre Ruhr Area, Munckelstraße 27, 45879 Gelsenkirchen, Germany., Daniels M; Department of Plastic Surgery, Sana Hospital Gerresheim, Gräulinger Str. 120, 40625 Düsseldorf, Germany; In cooperation with the Faculty of Health at Witten/Herdecke University, Germany. Electronic address: marc.daniels@sana.de.
Jazyk: angličtina
Zdroj: Journal of plastic, reconstructive & aesthetic surgery : JPRAS [J Plast Reconstr Aesthet Surg] 2024 Nov 16; Vol. 100, pp. 112-119. Date of Electronic Publication: 2024 Nov 16.
DOI: 10.1016/j.bjps.2024.11.016
Abstrakt: Breast cancer is the most common cancer diagnosed in women. Breast reconstruction can be performed with autologous fat tissue, implants, or a combination of both. Overall, there is no increased risk of breast cancer recurrence after autologous breast reconstruction compared to mastectomy alone. The aim of our study is to evaluate the recurrence rate after deep inferior epigastric perforator (DIEP) flap reconstruction in our patients' series as well as to describe the management of local recurrence based on our experience. We conducted a retrospective, bi-centric observational study. A total of 666 patients who underwent breast reconstruction with a DIEP flap at the two breast centers were included. Among 238 patients of breast center no. 1 who received DIEP flap reconstruction, an axillary and five local recurrences were observed. At breast center no. 2, which included 428 patients, seven local recurrences occurred. In total, 13 cases of recurrence were identified, yielding a recurrence prevalence of 2% this study population. In case of local recurrence, tumor resection with preservation of the DIEP flap is possible. Different techniques can be used to preserve flap perfusion.
(Copyright © 2024 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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