Post Mastectomy Immediate Breast Reconstruction 13 Years Experience in a Single Centre

Shaikh, Irshad; Thomas, Harun; Vidyadharan, Ramesh; Verghis, Vino; Iype, Vimal; Abraham, Santhosh

doi:10.1007/s13193-011-0051-0

Cited by 6 publications

(3 citation statements)

References 10 publications

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“…The reported rates of post‐mastectomy reconstructions range from 17% to as high as 60% in Western populations . This is considerably lower, at 2.6–18% in Asian countries . Possible reasons for this discrepancy include a conservative culture which places less importance on esthetics, inadequate awareness of the procedure and its oncological safety, and paucity of access to expertise .…”

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confidence: 99%

Trends in Post-Mastectomy Reconstruction in an Asian Population: A 12-Year Institutional Review

Tan

Goh

et al. 2016

Breast J

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Post-mastectomy breast reconstruction is an integral component of breast cancer treatment. It is often perceived that women in Asian countries have a lower rate of post-mastectomy reconstruction than Western populations. This study describes trends in timing and types of breast reconstruction performed in the largest healthcare provider in Singapore, over a period of 12 years. It also reports on the oncological outcomes and surgical safety. A retrospective review of all patients who underwent post-mastectomy reconstruction from January 2001 to December 2012 at the National Cancer Centre Singapore and Singapore General Hospital was performed. Six hundred and twenty post-mastectomy reconstructions were performed in 579 patients. The proportion of reconstructions increased from 4% in 2001 to 18% in 2012. Younger patients (<50 years old) and those with early stage cancer were more likely to undergo reconstruction. Immediate breast reconstruction was favored by more than 90% of patients. Postoperatively, 9% developed acute surgical complications that were treated surgically; 6% had additional surgery for late complications. Only 4% had delay of adjuvant chemotherapy. At median follow-up of 63 months (range 3-166), loco-regional recurrence was 4%, and distant metastases 8%. Post-mastectomy reconstruction for breast cancer is increasingly performed in our institution. Both younger age and lower stage disease were associated with choice for reconstruction in our study. Low rates of delay to adjuvant therapy were noted, and it may safely be offered to suitable women undergoing mastectomy.

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confidence: 99%

Trends in Post-Mastectomy Reconstruction in an Asian Population: A 12-Year Institutional Review

Tan

Goh

et al. 2016

Breast J

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“…Before 2010's, in Asian countries, BR rate never surpassed 18.0% among breast cancer patients. 27 28 Simultanously, in 2005, Son et al 29 reported that 12% of Korean breast cancer patients underwent IBR. However, after NHI reimbursement, in 2019, Song et al 30 reported that the IBR rate after total mastectomy increased from 19.4% in 2015 to 53.4% in 2018.…”

Section: Discussionmentioning

confidence: 99%

Changes in Korean National Healthcare Insurance Policy and Breast Cancer Surgery Trend in Korea

et al. 2021

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Background Since April 2015, the Korean National Health Insurance (NHI) has reimbursed breast cancer patients, approximately 50% of the cost of the breast reconstruction (BR) procedure. We aimed to investigate NHI reimbursement policy influence on the rate of immediate BR (IBR) following total mastectomy (TM). Methods We retrospectively analyzed breast cancer data between April 2011 and June 2016. We divided patients who underwent IBR following TM for primary breast cancer into “uninsured” and “insured” groups using their NHI statuses at the time of surgery. Univariate analyses determined the insurance influence on the decision to undergo IBR. Results Of 2,897 breast cancer patients, fewer uninsured patients (n = 625) underwent IBR compared with those insured (n = 325) (30.0% vs. 39.8%, P < 0.001). Uninsured patients were younger than those insured (median age [range], 43 [38–48] vs. 45 [40–50] years; P < 0.001). Pathologic breast cancer stage did not differ between the groups ( P = 0.383). More insured patients underwent neoadjuvant chemotherapy ( P = 0.011), adjuvant radiotherapy ( P < 0.001), and IBR with tissue expander insertion ( P = 0.005) compared with those uninsured. Conclusion IBR rate in patients undergoing TM increased after NHI reimbursement.

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“…Even in benign conditions like phyllodes tumour, many patients present after it has reached a considerable size, necessitating mastectomy. Barriers to early presentation include fear of mastectomy, effects of mastectomy on self-image, self-confidence and perceptions of women’s image in the society, and lack of awareness of the complications of breast disease 1–3. Financial barriers to access to quality care and potentially negative influences of family and relatives further delay urgent treatment 4–6…”

Section: Introductionmentioning

confidence: 99%

Breast reconstruction following mastectomy in Indian women: a neglected entity

et al. 2022

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Phyllodes tumour is a rapidly growing neoplasm with a propensity to involve the entire breast tissue. In large tumours, the treatment comprises a wide local excision or a mastectomy. A woman in her 20s from rural India presented with complaints of a recurrent left breast lump. The lump progressed to a large size, limiting her social activities and causing depression. On examination, she had a mass occupying almost the entire left breast, with stretched skin, dilated veins and pressure necrosis. There were no palpable axillary nodes. She was offered a wide local excision and reconstruction with a latissimus dorsi pedicled flap. After much discussion and clarification of some misconceptions around breast reconstruction, she underwent the planned surgery. This was followed by adjuvant radiation therapy as the histopathology was consistent with a complex phyllodes tumour with close margins. She was well at 1-year follow-up and led a good family and social life. Breast conservation and reconstruction are seldom offered as part of cancer treatment in India. All women should be offered surgical options that are oncologically safe while preserving body image, and hence healthcare providers must work towards breaking the barriers that prevent breast reconstruction.

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Post Mastectomy Immediate Breast Reconstruction 13 Years Experience in a Single Centre

Cited by 6 publications

References 10 publications

Trends in Post-Mastectomy Reconstruction in an Asian Population: A 12-Year Institutional Review

Trends in Post-Mastectomy Reconstruction in an Asian Population: A 12-Year Institutional Review

Changes in Korean National Healthcare Insurance Policy and Breast Cancer Surgery Trend in Korea

Breast reconstruction following mastectomy in Indian women: a neglected entity

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