Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Reliability of Reconstructed Breast Flap after Chemotherapy and Radiotherapy in Immediate Breast Reconstruction

  • Lee, Keun-Cheol (Department of Plastic and Reconstructive Surgery, Dong-A University College of Medicine) ;
  • Kim, Tae-Heon (Department of Plastic and Reconstructive Surgery, Dong-A University College of Medicine) ;
  • Park, Su-Sung (Department of Plastic and Reconstructive Surgery, Dong-A University College of Medicine) ;
  • Kim, Min-Su (Department of Plastic and Reconstructive Surgery, Dong-A University College of Medicine) ;
  • Kim, Myung-Hoon (Department of Plastic and Reconstructive Surgery, Dong-A University College of Medicine) ;
  • Kim, Seok-Kwun (Department of Plastic and Reconstructive Surgery, Dong-A University College of Medicine) ;
  • Cho, Se-Heon (Department of General Surgery, Dong-A University College of Medicine) ;
  • Lee, Mi-Ri (Department of General Surgery, Dong-A University College of Medicine) ;
  • Lee, Jin-Hwa (Department of Radiology, Dong-A University College of Medicine) ;
  • Lee, Hyung-Sik (Department of Radiation Oncology, Dong-A University College of Medicine) ;
  • Kim, Dae-Cheol (Department of Pathology, Dong-A University College of Medicine)
  • Received : 2012.04.01
  • Accepted : 2012.07.25
  • Published : 2012.09.15
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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.

Keywords

Acknowledgement

Supported by : Dong-A university

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  1. “Systematic review and meta-analysis of immediate versus delayed autologous breast reconstruction in the setting of post-mastectomy adjuvant radiation therapy” vol.74, pp.5, 2012, https://doi.org/10.1016/j.bjps.2020.11.027