Radiotherapy and Breast Reconstruction: What Is the Ideal Timing? A Narrative Review

Autor: Evanthia, Letsiou, Sergios, Tsakatikas, George, Vakis, Konstantinos, Tsapakidis, Nikolaos, Charalampakis, Alexandros, Diamantis, Antigoni, Poultsidi, Dimosthenis, Michelakis, Eelco, de Bree, Davide, Mauri, Nikolaos, Tsoukalas, Chrysostomos, Antoniades, Maria, Tolia
Rok vydání: 2022
Předmět:
Zdroj: Reviews on Recent Clinical Trials. 17:73-85
ISSN: 1574-8871
DOI: 10.2174/1574887117666220314161609
Popis: Introduction:Women undergoing mastectomy choose to pursue breast reconstruction (BR) in order to reduce their body image distress.Adjuvant chest wall irradiation is associated with a negative cosmetic outcome. The aim of our review was to identify the optimal timing of BR relating to radiotherapy delivery.Materials and Methods:Using Cochrane Library, Embase, PubMed, Springer, Wanfang and CNKI, we performed a non-systematic review of articles published up to August 2021.Result:There is no hard evidence in favor of immediate, delayed or 2-stage BR when post-mastec-tomy radiation is indicated. Immediate and 2-stage BR seem to be valid alternatives to delayed BR.Conclusion:Further research is essential in order to assess clinician and patient reported aesthetic outcomes and determine the optimal timing of BR in view of post-mastectomy radiotherapy, in breast cancer survivors.
Databáze: OpenAIRE