Skin-Sparing Mastectomy and Immediate Breast Reconstruction in the Management of Locally Recurrent Breast Cancer
| Autor: | K. von Smitten, Tuomo J. Meretoja, Tiina Jahkola, Andrew Lindford |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
medicine.medical_specialty Mammaplasty Mastectomy Subcutaneous medicine.medical_treatment Breast Neoplasms Surgical Flaps Breast cancer Abdominal flaps Surgical oncology medicine Humans Recurrent breast cancer Retrospective Studies Skin sparing mastectomy business.industry General surgery Middle Aged medicine.disease Combined Modality Therapy Surgery Treatment Outcome Oncology Female Implant Neoplasm Recurrence Local Breast reconstruction business Mastectomy Follow-Up Studies |
| Zdroj: | Annals of Surgical Oncology. 17:1669-1674 |
| ISSN: | 1534-4681 1068-9265 |
| DOI: | 10.1245/s10434-010-0957-8 |
| Popis: | To investigate whether skin-sparing mastectomy (SSM) and immediate breast reconstruction (IBR) is a possible treatment option in selected cases of locally recurrent breast cancer after previous breast-conserving therapy (BCT).Sixty consecutive patients were treated by SSM and IBR between 1995 and 2008 for ipsilateral breast tumour recurrence (IBTR). Selection criteria consisted of: IBTR3 cm size, not infiltrating skin or chest wall, primarily node negative, recurrence3 years after primary operation, and no metastases. Patient records were analysed retrospectively and follow-up data on patient outcome included.The reconstruction method consisted of 40 free abdominal flaps, 18 latissimus dorsi (LD) flaps with or without an implant, and two cases of implant only. Twenty-three patients received adjuvant oncological therapy. During median follow-up of 66 months, 11 patients (18%) developed disease relapse, including 6 (10%) local re-recurrences.IBR is a possible treatment option for patients who develop local recurrence following earlier BCT. Our local re-recurrence rate of 10% compares well with that following salvage mastectomy for IBTR. Of patients, 43% did not actually meet our selection criteria but yet appeared to fare well in terms of outcome. Therefore we should re-evaluate our selection criteria. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink