Risk-Reducing Mastectomy and Reconstruction Following Prophylactic Breast Irradiation: Hope Sustained
| Autor: | Ayelet Shai, Merav A Ben David, Benjamin W. Corn, Ella Evron, Adi F Rasco |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Cancer Research
medicine.medical_specialty Risk reducing mastectomy medicine.medical_treatment Population prophylactic breast irradiation Contralateral breast cancer 03 medical and health sciences 0302 clinical medicine Breast cancer breast cancer medicine 030212 general & internal medicine Contralateral breast education skin and connective tissue diseases RC254-282 education.field_of_study business.industry Brief Report BRCA mutation Neoplasms. Tumors. Oncology. Including cancer and carcinogens medicine.disease Surgery Oncology 030220 oncology & carcinogenesis Lifetime risk business Mastectomy |
| Zdroj: | Cancers, Vol 13, Iss 2694, p 2694 (2021) Cancers |
| ISSN: | 2072-6694 |
| Popis: | Simple Summary In this study we report the outcome of salvage mastectomy and reconstruction in 11 BRCA mutation carrier patients that participated in a clinical trial of prophylactic contralateral breast irradiation and suffered reoccurrences of breast cancer in either the ipsilateral or contralateral breast or elected to have the procedure for risk reduction. Patients’ satisfaction and physicians’ assessment of the cosmetic outcome were not inferior for previously irradiated compared to non-irradiated breasts. These results are encouraging and support continuing research as well as a discussion of risk-reduction alternatives besides mastectomy, including prophylactic breast irradiation, in BRCA1/2 mutation carriers. Abstract Risk-reducing mastectomy (RRM) is often advocated for BRCA1/2 mutation carriers who face a heightened lifetime risk of breast cancer. However, many carrier patients seek alternative risk-reducing measures. In a phase II nonrandomized trial, we previously reported that prophylactic irradiation to the contralateral breast among BRCA carriers undergoing breast-conserving treatment significantly reduced subsequent contralateral breast cancer. Herein, we report the outcome of salvage mastectomy and reconstruction in 11 patients that suffered reoccurrences of breast cancer in either the ipsilateral or contralateral breast or elected to have the procedure for risk reduction during the eight-year follow-up period. Patients’ satisfaction with the procedure and physicians’ assessment of the cosmetic outcome were not inferior for previously irradiated compared to non-irradiated breasts. Although the numbers are small, the results are encouraging and sustain hope in a challenging population. Our findings support continuing research as well as a discussion of risk-reduction alternatives besides mastectomy, including prophylactic breast irradiation, in BRCA1/2 mutation carriers. |
| Databáze: | OpenAIRE |
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