Immediate breast reconstruction with expander in pregnant breast cancer patients

Lohsiriwat, Visnu; Peccatori, Fedro Alessandro; Martella, Stefano; Azim, Hatem A.; Sarno, Maria; Galimberti, Viviana; Lorenzi, Francesca De; Intra, Mattia; Sangalli, Claudia; Rotmensz, Nicole; Pruneri, Giancarlo; Renne, Giuseppe; Schorr, Mario Casales; Teixeira, Luiz Felipe Nevola; Rietjens, Mario; Giroda, Massimo; Gentilini, Oreste

doi:10.1016/j.breast.2013.06.005

Cited by 52 publications

(33 citation statements)

References 15 publications

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“…Immediate breast reconstruction was utilized in 8 of 25 patients without significant rates of adverse maternal or fetal events. Lohsiriwat published the first report describing immediate breast reconstruction in PABC with tissue expander and definite implant [9]. No surgical complications after surgery were found.…”

Section: Discussionmentioning

confidence: 82%

“…The outcome was satisfactory in case 1, but if the pregnancy is known and the delivery is not possible, we prefer an approach in two stages. Similar to Lohsiriwat [9], we recommend using expander breast in the first stage during pregnancy and free flaps in the second stage after delivery in this Bpregnancy group,^until more studies are published on the feasibility.…”

Section: Discussionmentioning

confidence: 95%

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Immediate microsurgical breast reconstruction in pregnant breast cancer patients

et al. 2015

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Pregnancy-associated breast cancer (PABC) is defined as breast cancer occurring anytime during gestation, lactation or within 1 year after delivery. Breast reconstruction is considered an essential component in managing breast cancer patients, and immediate reconstruction provides superior esthetic outcome and better patient satisfaction. There are no sufficient reports on the feasibility of immediate breast reconstruction in patients during the course of gestation and no studies have been published using microsurgery breast reconstruction in PABC. We report three cases of immediate microsurgery breast reconstruction in pregnant cancer patient. We consider two distinct subsets in breast reconstruction in PABC: Bpregnancy^and Bafter delivery.^Pregnant breast cancer patients can be considered for immediate microsurgical breast reconstruction with optimal treatment through multidisciplinary management. Level of Evidence: Level V, therapeutic study

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Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 95%

Immediate microsurgical breast reconstruction in pregnant breast cancer patients

et al. 2015

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“…Dominici et al reported a 9% wound complication rate in breast surgery performed in pregnant patients, which is not higher than that expected in non pregnant patients . In a related study, Lohsiriwat et al found no wound complications in pregnant patients who underwent IR, but one patient experienced an implant rupture, which is a known complication of IR. A typical complication rate with two‐stage reconstruction in non‐pregnant women is 10–20%, irrespective of PMRT .…”

Section: Discussionmentioning

confidence: 90%

Immediate breast reconstruction following mastectomy in pregnant women with breast cancer

Caragacianu

Mayer

Chun

et al. 2016

Journal of Surgical Oncology

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“…Recently, Lohsiriwat 25 described reconstruction in pregnancy in 78 patients: 22 underwent unilateral mastectomy; 13 of 22 had immediate reconstruction (12 with a tissue expander and one with an immediate implant). There was no infection, hematoma, capsular contraction, or flap necrosis, and 75% of patients completed expansion intrapartum.…”

Section: Introductionmentioning

confidence: 99%

Breast Cancer in Pregnancy: Avoiding Fetal Harm When Maternal Treatment Is Necessary

Cordeiro

Gemignani

2017

Breast J

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The management of breast cancer during pregnancy poses unique challenges and requires a multidisciplinary approach. In this review, we discuss the treatment of breast cancer in pregnancy and recent updates regarding the safety of surgical and chemotherapeutic treatments, including both oncologic and fetal outcomes. The treatment of breast cancer during pregnancy mirrors that outside of pregnancy, with a few important differences dictated by the balance of maternal versus fetal health. Overall, surgical treatment, neoadjuvant chemotherapy, and/or adjuvant chemotherapy are feasible in most women during pregnancy. Further research to determine the safety of these therapies in pregnancy-associated breast cancer is warranted.

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Immediate breast reconstruction with expander in pregnant breast cancer patients

Cited by 52 publications

References 15 publications

Immediate microsurgical breast reconstruction in pregnant breast cancer patients

Immediate microsurgical breast reconstruction in pregnant breast cancer patients

Immediate breast reconstruction following mastectomy in pregnant women with breast cancer

Breast Cancer in Pregnancy: Avoiding Fetal Harm When Maternal Treatment Is Necessary

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