Effect of Internal Mammary Vessel Irradiation on Outcomes of Free Flap Breast Reconstruction in Patients Treated With Mastectomy and Radiation Therapy for Breast Cancer

2014 ◽  
Vol 90 (1) ◽  
pp. S279-S280
Author(s):  
M.J. Eblan ◽  
J.M. Caster ◽  
A.R. Shah ◽  
C.N. Lee ◽  
E.L. Jones
Keyword(s):  
Breast Cancer ◽  
Radiation Therapy ◽  
Breast Reconstruction ◽  
Free Flap ◽  
Internal Mammary

Role of Internal Mammary Node Radiation as a Part of Modern Breast Cancer Radiation Therapy: A Systematic Review

2016 ◽  
Vol 95 (2) ◽  
pp. 617-631 ◽  
Author(s):  
Vivek Verma ◽  
Frank Vicini ◽  
Rahul D. Tendulkar ◽  
Atif J. Khan ◽  
Jessica Wobb ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Systematic Review ◽  
Radiation Therapy ◽  
Internal Mammary Node ◽  
Internal Mammary

scholarly journals Computed tomography angiographic study of internal mammary perforators and their use as recipient vessels for free tissue transfer in breast reconstruction

2017 ◽  
Vol 50 (01) ◽  
pp. 050-055
Author(s):  
Aditya V. Kanoi ◽  
Karnav B. Panchal ◽  
Saugata Sen ◽  
Gautam Biswas
Keyword(s):  
Computed Tomography ◽  
Breast Reconstruction ◽  
Free Flap ◽  
Free Tissue Transfer ◽  
Tissue Transfer ◽  
Free Flap Transfer ◽  
Internal Mammary ◽  
Multiple Variables ◽  
The Right ◽  
Artery Perforator

ABSTRACT Context: The internal mammary artery perforator vessels (IMPV) as a recipient in free flap breast reconstruction offer advantages over the more commonly used thoracodorsal vessels and the internal mammary vessels (IMV). Aims: This study was designed to assess the anatomical consistency of the IMPV and the suitability of these vessels for use as recipients in free flap breast reconstruction. Patients and Methods: Data from ten randomly selected female patients who did not have any chest wall or breast pathology but had undergone a computed tomography angiography (CTA) for unrelated diagnostic reasons from April 2013 to October 2013 were analysed. Retrospective data of seven patients who had undergone mastectomy for breast cancer and had been primarily reconstructed with a deep inferior epigastric artery perforator free flap transfer using the IMPV as recipient vessels were studied. Results: The CTA findings showed that the internal mammary perforator was consistently present in all cases bilaterally. In all cases, the dominant perforator arose from the upper four intercostal spaces (ICS) with the majority (55%) arising from the 2nd ICS. The mean distance of the perforators from the sternal border at the level of pectoralis muscle surface on the right side was 1.86 cm (range: 0.9–2.5 cm) with a mode value of 1.9 cm. On the left side, a mean of 1.77 cm (range: 1.5–2.1 cm) and a mode value of 1.7 cm were observed. Mean perforator artery diameters on the right and left sides were 2.2 mm and 2.4 mm, respectively. Conclusions: Though the internal mammary perforators are anatomically consistent, their use as recipients in free tissue transfer for breast reconstruction eventually rests on multiple variables.

Genetic Testing for Breast Cancer Susceptibility Should Be Offered before Unilateral Abdominally Based Free Flap Breast Reconstruction

2019 ◽  
Vol 144 (1) ◽  
pp. 12-20 ◽  
Author(s):  
Erez Dayan ◽  
Anu Chittenden ◽  
Judy E. Garber ◽  
Luccie Wo ◽  
Stephanie A. Caterson ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Genetic Testing ◽  
Breast Reconstruction ◽  
Free Flap ◽  
Cancer Susceptibility ◽  
Breast Cancer Susceptibility

Sampling of Internal Mammary Chain Lymph Nodes during Breast Reconstruction by Free Flaps from the Abdomen

2005 ◽  
Vol 91 (5) ◽  
pp. 415-417 ◽  
Author(s):  
Zoran M Arnez ◽  
Marko Snoj
Keyword(s):  
Breast Cancer ◽  
Lymph Node ◽  
Breast Reconstruction ◽  
Internal Mammary Artery ◽  
Treatment Plan ◽  
Free Flaps ◽  
Microvascular Anastomosis ◽  
Internal Mammary Chain ◽  
Free Flap Transfer ◽  
Internal Mammary

The role of internal mammary chain lymph node removal in breast cancer is still not clarified. Although it has been proven that elective dissection of the internal mammary chain nodes does not improve survival, their selective treatment based on sentinel lymph node biopsy is under evaluation. There is another possibility to establish the status of internal mammary chain nodes - sampling of the nodes during the preparation of the site for microvascular anastomosis to the internal mammary artery and vein for free flap transfer. From August 2002 to December 2003, 54 free flaps were performed for breast reconstruction. In 11 cases, an internal mammary chain lymph node was harvested. A positive internal mammary chain node was found in only one case. In this case, the treatment policy was changed by adding irradiation to the internal mammary chain. The sampling of internal mammary chain nodes during preparation of the site for microvascular anastomosis to the internal mammary artery and vein should be a part of the reconstructive procedure after total mastectomy for invasive breast cancer because it could change the treatment plan.

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