Immediate reconstruction with implants in women with invasive breast cancer does not affect oncological safety in a matched cohort study

Eriksen, Catharina; Frisell, Jan; Wickman, Marie; Lidbrink, Elisabet; Krawiec, Kamilla; Sandelin, Kerstin

doi:10.1007/s10549-011-1437-y

Cited by 84 publications

(85 citation statements)

References 40 publications

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“…3 In Stockholm, the most common method for immediate breast reconstruction (IBR) is implant based, which is performed in approximately 21% of all mastectomies. 4 Several studies comparing local and distant relapse in patients undergoing SSM with those undergoing conventional mastectomy have reported no significant differences, thus supporting the oncological safety of this approach. 5e7 Despite the cosmetic advantages associated with SSM, the removal of the NAC may be experienced as physically disfiguring and emotionally disturbing for the patient.…”

Section: Introductionmentioning

confidence: 88%

The oncological safety of nipple-sparing mastectomy – A Swedish matched cohort study

Adam

Bygdeson

Boniface

2014

European Journal of Surgical Oncology (EJSO)

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Section: Introductionmentioning

confidence: 88%

The oncological safety of nipple-sparing mastectomy – A Swedish matched cohort study

Adam

Bygdeson

Boniface

2014

European Journal of Surgical Oncology (EJSO)

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“…Although breast conservation has been accepted worldwide, the proportion of breast-conserving mastectomies performed accounted for less than 10% of the total amount of mastectomies in China between the years of 2001 and 2004. This figure is greater than 50% in America, 70-80% in Singapore, and 60% in Japan [5]. Because doctors and patients are concerned with recurrence due to residual mammary tissue, en bloc resection of the mammary gland is often performed, with radiotherapy offering optimal postoperative treatment.…”

Section: Zhimin Fanmentioning

confidence: 99%

Subcutaneous Nipple-Sparing Mastectomy and Immediate Breast Reconstruction

Shi¹,

Wu²,

Li³

et al. 2012

Breast Care

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Background: Without a doubt, nipple-sparing mastectomy affords a better cosmetic result than modified radical mastectomy. However, the surgical safety, radicality, complications, indications, and psychological benefits associated with this method are controversially discussed. Patients and Methods: We carried out a retrospective analysis of 35 patients (study group) who underwent nipple-sparing mastectomy between 2000 and 2008. Indications, incision selection, postoperative complications, recurrence, morbidity rate, and psychological status were recorded and assessed. Results: The survival outcome (5.7 vs. 6%; p = 0.35) and complication rate (5.7 vs. 19%; p = 0.062) of patients who underwent subcutaneous nipple-sparing mastectomy and immediate breast reconstruction with prosthesis were similar to those of patients who underwent modified radical mastectomy. Most patients in the study group were completely satisfied with the aesthetic results (immediately, p < 0.001; < 1 year, p < 0.001; > 1 year, p < 0.001), and no serious psychological disorders or stress were detected relative to patients with traditional mastectomy. Conclusion: Subcutaneous nipple-sparing mastectomy was beneficial and safe in this cohort of breast cancer patients. The approach is suitable for patients with isolated lesions located ≥ 2 cm from the nipple, as well as for patients with multiple lesions who are anxious about a good cosmetic appearance.

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“…A study conducted by Al-Ghazal et al showed that patients who underwent IBR showed less psychological distress than patients who underwent delayed breast reconstruction (8). Furthermore, studies have shown that IBR is oncologically safe as local recurrence incidence following IBR is comparable to that after mastectomy (5,(9)(10)(11)(12)(13)(14). This led to increasing IBR in the United (16).…”

Section: Introductionmentioning

confidence: 99%

Factors influencing the decision to pursue immediate breast reconstruction after mastectomy for breast cancer

et al. 2017

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Background: Immediate breast reconstruction (IBR) after mastectomy has shown to be oncologically safe and to improve quality of life in breast cancer patients. However, most women undergoing mastectomy do not undergo IBR. In this study, we aim to identify breast surgeon-related factors in considering IBR and factors affecting patients' decision to choose for IBR.Methods: Retrospective analysis of the records of breast cancer patients who underwent mastectomy with or without IBR between 2010 and 2013. We documented all information whether or not a patient underwent IBR after mastectomy.Results: Of 437 patients, 97 (22.2%) underwent IBR, 89.8% of which received tissue expanders. Patient who did not undergo IBR had a higher age (62.2 versus 51.9 years, P<0.001) and higher body mass index (BMI) (27.0 versus 24.3, P<0.001). Hundred three patients declined IBR, mainly because considering reconstruction as too much trouble. In 128 cases the breast surgeon did not offer IBR, mostly because of the predicted need for post mastectomy radiation. Approximately 11% of the patients were not informed about IBR.Conclusions: Anticipated radiation therapy, higher age and higher BMI were important breast surgeonrelated factors in refraining from IBR. Almost one third of all patients declined IBR. In almost 10% of all patients, IBR was not discussed.Keywords: Breast neoplasms; breast reconstruction; decision making; mammaplasty; mastectomy Submitted Aug 11, 2016. Accepted for publication Oct 27, 2016Oct 27, . doi: 10.21037/gs.2016 View this article at: http://dx.doi.org/10.21037/gs.2016.11.11 44 Weenk et al. Decision-making process in IBR © Gland Surgery. All rights reserved.Gland Surg 2017;6(1):43-48 gs.amegroups.com States. In 2000, 12.9% of all mastectomies performed in the United States were combined IBR, increasing to 36.3% in 2009 (15). The United Kingdom Association of Breast Surgery recommends that any patient in which IBR is oncologically safe should have the possibility to choose for IBR (16). Dutch guidelines state IBR has a slight preference instead of delayed reconstruction and that every patient considered for mastectomy has to be informed about reconstructive options (17). However, despite the evidence and recommendations, almost two thirds of the mastectomies are still performed without IBR. We asked ourselves if there are elements in the pre-operative process that could facilitate or impede the choice for IBR. The major objective of this study was to investigate the decision-making process on whether or not a patient undergoes immediate reconstruction after mastectomy. In this study we focused on the role of patient as well as the role of the breast surgeon. MethodsWe investigated all electronic patient files of women diagnosed with DCIS or invasive carcinoma between 2010 and 2013, and underwent a mastectomy at the Canisius Wilhelmina Breast Center in Nijmegen, the Netherlands. Patients who underwent prophylactic mastectomy were excluded. IBR is defined as mastectomy and reconstruction performed on the same day. ...

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Immediate reconstruction with implants in women with invasive breast cancer does not affect oncological safety in a matched cohort study

Cited by 84 publications

References 40 publications

The oncological safety of nipple-sparing mastectomy – A Swedish matched cohort study

The oncological safety of nipple-sparing mastectomy – A Swedish matched cohort study

Subcutaneous Nipple-Sparing Mastectomy and Immediate Breast Reconstruction

Factors influencing the decision to pursue immediate breast reconstruction after mastectomy for breast cancer

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