Satisfaction with and psychological impact of immediate and deferred breast reconstruction

Fernández-Delgado, J.A. Olmo; López-Pedraza, M.J.; Blasco, Juan Antonio; Andradas-Aragones, E.; Sánchez-Méndez, José Ignacio; Sordo-Miralles, G.; Reza, M. M.

doi:10.1093/annonc/mdn153

Cited by 105 publications

(63 citation statements)

References 30 publications

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“…The mean follow-up was 8 years (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). Five patients were lost to follow-up.…”

Section: Resultsmentioning

confidence: 99%

“…There were more delayed complications and more surgical revisions in the group RI (27,3%, RR RI vs. others = 6,4 [2,[6][7][8][9][10][11][12][13][14][15]6]; p=0,0005). Considering all complications, TRAM and RI reconstructions required more surgical revisions than LD reconstructions (RR TRAM vs. LD = 2,7 [1,[4][5]3] and RR RI vs. LD = 4,2 [2,[0][1][2][3][4][5][6][7][8]6]; p=0,0006). Twelve reconstruction failures were noted with 1 complete TRAM flap loss and 11 implants removal (6 in LDI and 5 in RI).…”

Section: Resultsmentioning

confidence: 99%

“…Additionally, it is known that the aesthetic evaluation depends upon various scales used and patient satisfaction has been proven to be high with IBR. 1,14,15 There are several arguments in favor of delivering RT before breast reconstruction. First, a M A N U S C R I P T…”

Section: Discussionmentioning

confidence: 99%

“…1 Oncological safety of IBR has been confirmed when performing mastectomies for in situ ductal carcinoma (DCIS) and early-stage invasive breast cancers. 2,3 However, the management of operable locally advanced breast cancer (LABC) (stage IIb and III) is challenging and includes a multimodal approach with systemic therapy, radiotherapy (RT) and surgery.…”

Section: Introductionmentioning

confidence: 99%

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Mastectomy with immediate breast reconstruction after neoadjuvant chemotherapy and radiation therapy. A new option for patients with operable invasive breast cancer. Results of a 20 years single institution study

Monrigal

Dauplat

Gimbergues

et al. 2011

European Journal of Surgical Oncology (EJSO)

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PurposeTo evaluate the feasability of immediate breast reconstruction (IBR) following mastectomy after neoadjuvant chemotherapy (NACT) and radiation therapy (RT) for operable invasive breast cancer (OIBC), in terms of incidence of local complications, locoregional control and survival. Patients and methodsFrom 1990 to 2008, 210 patients were treated by NACT, RT and mastectomy with IBR for OIBC. One hundred and seven patients underwent a latissimus dorsi flap with implant (LDI), 56 patients a transverse rectus abdominis musculocutaneous (TRAM) flap, 25 an autologous latissimus dorsi flap (ALD) and 22, a retropectoral implant (RI) reconstruction. ResultsForty-six (21,9%) early events were recorded: 20 necrosis, 9 surgical site infections and 6 haematomas, requiring further surgery in 23 patients. More necrosis were observed with TRAM flap reconstructions (p=0,000004), requiring more surgical revision than LD reconstructions. Seromas represented 42% of early complications in LD reconstructions. Fifty-five patients presented with late complications (26,2%) with mainly implant complications (capsular contracture, infection, dislocation, deflation) (23,6%), requiring reintervention in 14 cases. There were more delayed surgical revisions in RI reconstructions (p=0,0005). The 5 years overall and disease-free survival rates were respectively 86,7% and 75,6%. Sixty-four patients presented at least one recurrence (30,5%) with 5 local , 9 locoregional and 54 distant relapses. ConclusionThis therapeutic sequence does not seem to increase the IBR morbidity nor alter disease-free and overall survival.

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“…The mean follow-up was 8 years (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). Five patients were lost to follow-up.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Mastectomy with immediate breast reconstruction after neoadjuvant chemotherapy and radiation therapy. A new option for patients with operable invasive breast cancer. Results of a 20 years single institution study

Monrigal

Dauplat

Gimbergues

et al. 2011

European Journal of Surgical Oncology (EJSO)

View full text Add to dashboard Cite

show abstract

“…Immediate breast reconstruction (IBR) is performed to improve body image and the remaining quality of life for women facing mastectomy [1][2][3][4]. Success can be defined as the best possible cosmetic result that does not sacrifice oncological safety [5,6].…”

Section: Introductionmentioning

confidence: 99%

New concept for immediate breast reconstruction for invasive cancers: feasibility, oncological safety and esthetic outcome of post-neoadjuvant therapy immediate breast reconstruction versus delayed breast reconstruction: a prospective pilot study

Giacalone

Rathat

Daurès

et al. 2010

Breast Cancer Res Treat

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Feasibility and oncological safety of postadjuvant skin-sparing mastectomy (SSM) plus immediate breast reconstruction (IBR) cannot be evaluated by randomized trials. However, comparative study could modify guidelines for the oncosurgical treatment of invasive breast cancer. Our study compared the feasibility, oncological safety and esthetic outcome of SSM plus latissimus dorsi (LD) flap IBR after chemotherapy (CT) and radiotherapy (RT) with the standard management for invasive breast cancer: mastectomy as primary treatment, adjuvant CT and RT, and LD flap delayed breast reconstruction (DBR). Twenty-six selected patients with stages IIA-IIIA breast cancer were offered post-neoadjuvant SSM plus IBR with LD flap plus implant (IBR group). Seventy-eight other patients had primary mastectomy, adjuvant CT and RT, and LD-assisted DBR (DBR group). After 4.1 years (range 1-8) of follow-up, feasibility, oncological safety, and esthetic outcome were compared. Sixteen (61%) early complications were reported for the IBR group versus 44 (56%) for the DBR group (P = 0.645). Early implant loss was 0% in IBR versus 12% in DBR. IBR had 8 (30%) late complications versus 17 (21%) for DBR (P = 0.362). Capsular contracture and reconstruction failure rates were similar. Local recurrence was 7.7% (2/26) in IBR and 6.4% (5/78) in DBR (P = 0.823). Cosmetic evaluation by independent physicians and by the patients themselves was identical in the two groups. Our concept provides a basis for offering more women the opportunity to elect for immediate reconstruction, even in the setting of radiation therapy.

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Immediate versus delayed reconstruction following surgery for breast cancer

D’Souza¹,

Darmanin²,

Fedorowicz³

2010

Cochrane Database of Systematic Reviews

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Satisfaction with and psychological impact of immediate and deferred breast reconstruction

Cited by 105 publications

References 30 publications

Mastectomy with immediate breast reconstruction after neoadjuvant chemotherapy and radiation therapy. A new option for patients with operable invasive breast cancer. Results of a 20 years single institution study

Mastectomy with immediate breast reconstruction after neoadjuvant chemotherapy and radiation therapy. A new option for patients with operable invasive breast cancer. Results of a 20 years single institution study

New concept for immediate breast reconstruction for invasive cancers: feasibility, oncological safety and esthetic outcome of post-neoadjuvant therapy immediate breast reconstruction versus delayed breast reconstruction: a prospective pilot study

Immediate versus delayed reconstruction following surgery for breast cancer

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