Safety of oncology after immediate breast reconstruction for breast cancer patient
10.19538/j.cjps.issn1005-2208.2019.11.12
- Author:
Shu WANG
1
;
Chao-bin WANG
1
Author Information
1. Breast Center of Peking University People's Hospital Beijing 100044, China
- Publication Type:Journal Article
- Keywords:
immediate breast reconstruction;
radiotherapy;
chemotherapy;
nipple–areola complex
- From:
Chinese Journal of Practical Surgery
2019;39(11):1168-1172
- CountryChina
- Language:Chinese
-
Abstract:
Immediate breast reconstruction can reduce the psychological trauma of breast loss while preventing patients from undergoing secondary surgery.However,oncologists must ensure tumor safety when choosing immediate breast reconstruction.Careful preoperative evaluation and adequate intraoperative glandectomy are the prerequisites to ensure oncologic safety.The National Comprehensive Cancer Network(NCCN) guidelines clearly states that inflammatory breast cancer is a contraindication to immediate breast reconstruction.In addition,for patients who plan to receive postoperative radiotherapy,immediate breast reconstruction should be carefully selected.Despite the lack of high-level evidence-based evidence,available data show that immediate breast reconstruction does not affect postoperative adjuvant chemotherapy.It is safe and reliable for some patients to choose the subcutaneous gland resection that retains nipples and areola.Lymphoma after prosthesis implantation has been reported,but the incidence is low.Therefore,breast reconstruction immediately after mastectomy is a safe and reliable surgical procedure in suitable patients with breast cancer.
