Histopathological findings and follow-up after prophylactic mastectomy and immediate breast reconstruction in 100 women from families with hereditary breast cancer

2008 ◽  
Vol 34 (10) ◽  
pp. 1148-1154 ◽  
Author(s):  
A.E. Isern ◽  
N. Loman ◽  
J. Malina ◽  
H. Olsson ◽  
A. Ringberg
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Hereditary Breast Cancer ◽  
Prophylactic Mastectomy ◽  
Immediate Breast Reconstruction ◽  
Histopathological Findings

Body image issues after bilateral prophylactic mastectomy with breast reconstruction in healthy women at risk for hereditary breast cancer

2012 ◽  
Vol 12 (3) ◽  
pp. 479-487 ◽  
Author(s):  
Jessica P. Gopie ◽  
Marc A. M. Mureau ◽  
Caroline Seynaeve ◽  
Moniek M. ter Kuile ◽  
Marian B. E. Menke-Pluymers ◽  
...  
Keyword(s):  
Breast Cancer ◽  
At Risk ◽  
Body Image ◽  
Breast Reconstruction ◽  
Hereditary Breast Cancer ◽  
Prophylactic Mastectomy ◽  
Healthy Women ◽  
Bilateral Prophylactic Mastectomy ◽  
Body Image Issues

scholarly journals Capsular Flap for Implant Coverage in Breast Reconstruction Following Nipple-Sparing Mastectomy in Women With Previous Breast Augmentation

2019 ◽  
Vol 5 ◽  
pp. 2513826X1982879
Author(s):  
Miguel Sabino Neto ◽  
Luiz Henrique Gebrim
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Breast Augmentation ◽  
Prophylactic Mastectomy ◽  
Breast Implants ◽  
Immediate Breast Reconstruction ◽  
Silicone Implants ◽  
Capsular Flap ◽  
Nipple Sparing Mastectomy ◽  
Nipple Sparing

An increased incidence of breast cancer has been observed in women, including in those with silicone breast implants. We describe here the use of a flap made of fibrous capsule to complete the coverage of breast implants in patients undergoing nipple-sparing mastectomy with immediate breast reconstruction, who previously had undergone breast augmentation with silicone implants. All patients underwent ipsilateral therapeutic mastectomy and contralateral prophylactic mastectomy for breast cancer risk reduction and breast symmetrization. The capsular flap was successfully used in 16 patients. No postoperative complications occurred. This is a simple and safe technique and an additional option for this procedure.

scholarly journals Oncological safety of immediate rectus abdominis myocutaneous breast reconstruction in patients with locally advanced disease (stage IIb and III)

2013 ◽  
Vol 02 (04) ◽  
pp. 239-242
Author(s):  
Mushtaq Mir ◽  
Muddassir Shahdhar ◽  
Khurshid Ganaie ◽  
Quibtiya Syed
Keyword(s):  
Breast Cancer ◽  
Radiation Therapy ◽  
Breast Reconstruction ◽  
Systemic Therapy ◽  
Locally Advanced Breast Cancer ◽  
Locally Advanced ◽  
Immediate Breast Reconstruction ◽  
Rectus Abdominis ◽  
Reconstructed Breast

Abstract Background: The management of locally advanced (Stage IIb and III) breast cancer is challenging. It often includes multimodal treatment with systemic therapy and/or radiation therapy and surgery. Immediate breast reconstruction has not traditionally been performed in these patients. We review the results of immediate rectus abdominis musculo-cutaneous (TRAM/VRAM) flap in 60 patients treated for Stage IIb and III breast cancer. Materials and Methods: Data were collected prospectively on 60 patients diagnosed with Stage IIb (32 patients) and Stage III (28 patients) breast cancer between May 2008 and May 2012. All patients had mastectomy and immediate rectus abdominis myocutaneous reconstruction (TRAM in 40 patients and VRAM in 20 patients). All patients received primary systemic therapy, and all patients received postoperative radiotherapy to the operative site. Results: Mean age was 40.13 (range 28-53) years, mean hospital stay was 8.86 days and mean follow-up for the group was 28 months. Neither of them developed local disease recurrence in the operative site till the last follow-up. Eight (13.3%) patients had some delay in chemo-radiation therapy due to flap-related complications. Flap-related complications were present in eight patients (partial flap failure in four and superficial skin necrosis in four). There was no adverse effect of chemo-radiation therapy on reconstructed breast. Conclusion: Immediate TRAM/VRAM breast reconstruction for locally advanced breast cancer is not associated with a significant delay in adjuvant therapy or an increased risk of local relapse. Radiation therapy can be delivered to the reconstructed breast when indicated without difficulty. Breast reconstruction facilitates surgical resection of locally advanced breast cancer with primary closure and should be considered if the patient desires immediate breast reconstruction.

scholarly journals A single institution experience with skin sparing mastectomy and immediate breast reconstruction

2011 ◽  
Vol 93 (5) ◽  
pp. 382-384 ◽  
Author(s):  
S Doddi ◽  
T Singhal ◽  
A Kasem ◽  
A Desai
Keyword(s):  
Breast Cancer ◽  
Retrospective Study ◽  
Breast Reconstruction ◽  
Immediate Breast Reconstruction ◽  
Single Institution ◽  
Immediate Reconstruction ◽  
Good Cosmetic Outcome ◽  
Skin Envelope ◽  
Good Cosmetic

INTRODUCTION Skin sparing mastectomies (SSMs) represent a surgical approach that preserves the natural skin envelope of the breast and, when combined with immediate reconstruction, offers a good cosmetic outcome. The aim of this retrospective study was to compare the risk of local recurrence (LR) in this series with the known rate of recurrence following a conventional mastectomy. METHODS A total of 108 patients with breast cancer who underwent an SSM and immediate breast reconstruction over a 6-year period were reviewed. RESULTS A follow-up of more than eight years showed that three patients (2.78%) had developed LR. CONCLUSIONS The rate of LR is low with SSMs and is comparable to that seen with conventional mastectomies.

scholarly journals Standard psychological consultations and follow up for women at increased risk of hereditary breast cancer considering prophylactic mastectomy

2009 ◽  
Vol 7 (1) ◽  
Author(s):  
Murly BM Tan ◽  
Eveline MA Bleiker ◽  
Marian BE Menke-Pluymers ◽  
Arthur R Van Gool ◽  
Silvia van Dooren ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Hereditary Breast Cancer ◽  
Prophylactic Mastectomy ◽  
Increased Risk

Short-term outcomes of immediate breast reconstruction using implant or tissue expander after mastectomy in breast cancer patients.

2012 ◽  
Vol 30 (27_suppl) ◽  
pp. 176-176
Author(s):  
Haekyung Lee ◽  
Se Won Kim ◽  
Tae Ho Kang ◽  
Chan Seok Yoon ◽  
Seung Sang Ko ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Tissue Expander ◽  
Immediate Breast Reconstruction ◽  
Cosmetic Result ◽  
Cancer Center ◽  
Patient’S Satisfaction ◽  
Areolar Complex ◽  
Operational Result

176 Background: Mastectomy is a life-saving management but can cause significant adverse reactions. So, breast reconstruction is a concern in recovery after mastectomy. We report our experience with immediate breast reconstruction using implant or tissue expander, which confirmed the oncologic safety and high patients’ satisfaction. Methods: This study is a retrospective review of all patients who underwent reconstruction with implant or tissue expander immediately after mastectomy. Seventy-seven patients underwent breast reconstruction at a general hospital breast cancer center from January of 2008 to December of 2010 and 14 patients were excluded because of follow-up loss. Therefore 63 patients were included. To access patient’s satisfaction, questionnaire was sent to all patients. Results: Mean age of the patients is 44.1 years. ( range: 29-64) After median follow-up periods of 22.4 months, there was 1 case of locoregional recurrence, 1 case of distant metastasis and overall breast cancer specific survival was 100%. Overall major complication rate was 11.1% (7 patients), such as nipple areolar complex (NAC) necrosis and implant removal. Among 10 patients who had NAC necrosis, 6 patients improved after observation, and 4 patients performed NAC excision. Three patients were removed their implant due to severe infection, leakage or dissatisfaction. There were 32 cases of total mastectomy, 12 cases of skin sparing mastectomy (SSM), 19 cases of NAC sparing mastectomy (NSM). According to the result of questionnaire, 84.1% was satisfied with generalized operational result, 77.8% with cosmetic result. Among 19 patients who had performed NSM, 89.5% was satisfied with general result, 84.2% with cosmetic result. Conclusions: Immediate breast reconstruction using implant after mastectomy is technically feasible and oncologically safe as well as relatively good patient’s satisfaction. But we need more long-term experience.

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