Reliability of Reconstructed Breast Flap after Chemotherapy and Radiotherapy in Immediate Breast Reconstruction.
10.5999/aps.2012.39.5.497
- Author:
Keun Cheol LEE
1
;
Tae Heon KIM
;
Su Seong PARK
;
Min Su KIM
;
Myung Hoon KIM
;
Seok Kwun KIM
;
Se Heon CHO
;
Mi Ri LEE
;
Jin Hwa LEE
;
Hyung Sik LEE
;
Dae Cheol KIM
Author Information
1. Department of Plastic and Reconstructive Surgery, Dong-A University College of Medicine, Busan, Korea. pokdungi@dau.ac.kr
- Publication Type:Original Article
- Keywords:
Drug therapy;
Radiotherapy;
Breast;
Surgical flaps
- MeSH:
Breast;
Breast Neoplasms;
Chemotherapy, Adjuvant;
Cosmetics;
Female;
Humans;
Mammaplasty;
Medical Records;
Radiotherapy, Adjuvant;
Recurrence;
Retrospective Studies;
Surgical Flaps;
Survival Rate
- From:Archives of Plastic Surgery
2012;39(5):497-503
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Postmastectomy adjuvant therapy is used to prevent locoregional recurrence and improve overall breast cancer specific survival rates. However, it can adversely affect the cosmetic results of reconstruction. Therefore, the authors examined flap stability and patients' satisfaction with immediate breast reconstruction after adjuvant therapy. METHODS: We retrospectively reviewed the medical records of 204 patients from January 2006 to November 2011. For complication rates, the authors categorized the patients who underwent the immediate breast reconstruction into 4 groups: adjuvant chemotherapy and radiotherapy group, adjuvant chemotherapy only group, adjuvant radiotherapy only group, and the group that did not undergo adjuvant therapy. For comparison of patients' satisfaction, the study was performed with an additional 16 patients who had undergone delayed breast reconstruction. RESULTS: Regarding complication rates, the group that had undergone adjuvant therapy showed no significant difference compared to the group that did not undergo adjuvant therapy. In evaluating the patients' satisfaction, there was no significant difference. CONCLUSIONS: Even after adjuvant therapy, immediate breast reconstruction showed good results with respect to flap stability and patients' satisfaction. Immediate breast reconstruction and adjuvant therapy is a safe and useful option for breast cancer patients.
