Prace Oryginalne Original Papers Why Women Who Have Mastectomy Decide Not to Have Breast Reconstruction?

2015 ◽  
Vol 86 (10) ◽  
Author(s):  
Tomasz Zieliński ◽  
Katarzyna Lorenc-Podgórska ◽  
Bogusław Antoszewski
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Reconstructive Surgery ◽  
Underlying Disease ◽  
Lack Of Information ◽  
Reconstruction Methods ◽  
Common Response ◽  
Multistep Process ◽  
Breast Reconstructive Surgery ◽  
Common Malignancy

AbstractBreast cancer is the most common malignancy occurring in women. The treatment of breast cancer is a complex, multistep process involving surgical treatment, chemotherapy, radiotherapy, hormone therapy, targeted therapy, and very often rehabilitation. After the treatment of the underlying disease, or still in its course, there remains a problem of deformation of the chest. Although the number of women opting for breast reconstructive surgery increases every year, the number of such procedures in Poland is low.was to investigate the reasons why women after amputation of the breast due to cancer are not likely to undergo breast reconstructive surgery.The study comprised 73 women, residents of the province of Silesia, aged between 37 and 79 years, who had undergone mastectomy for malignancy in the years 1987-2013.From all of the reasons given by women for refraining from breast reconstruction, the most frequently pointed was the fear of being subjected to further surgery (38.3%). 23 women (31.5%) admitted that they were also afraid of postoperative pain. Similarly, a common response (35.6%) was that it is not essential for their mental state, and 30% of respondents fully accepted their appearance after mastectomy. Concern about the effect of failed reconstruction was reported by 24.6% of the women, and the fear that the surgery could negatively affect the process of cancer treatment by 27.4% of respondents. Lack of information about the capabilities and knowledge of breast reconstruction methods was not an important factor in decision-making.Most of the surveyed women who abandon breast reconstruction surgery, make this decision on the basis of more than one reasons. Fear of undergoing a second surgical procedure and pain related to it were the most important reasons for the refusal of breast reconstruction. An important factor in the decision to desist from breast reconstruction is the age of the patients.

Imaging Approaches and Findings in the Reconstructed Breast: A Pictorial Essay

2011 ◽  
Vol 62 (1) ◽  
pp. 60-72 ◽  
Author(s):  
Anabel M. Scaranelo ◽  
Bridgette Lord ◽  
Riham Eiada ◽  
Stefan O. Hofer
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Cancer Detection ◽  
Reconstructive Surgery ◽  
Genetic Screening ◽  
Breast Imaging ◽  
Breast Cancer Detection ◽  
Imaging Findings ◽  
Pictorial Essay ◽  
Reconstructed Breast

Advances in breast imaging over the last 15 years have improved early breast cancer detection and management. After treatment for breast cancer, many women choose to have reconstructive surgery. In addition, with the availability of widespread genetic screening for breast cancer, an increasing number of women are choosing prophylactic mastectomies and subsequent breast reconstruction. The purpose of this pictorial essay is to present the spectrum of imaging findings in the reconstructed breast.

scholarly journals TWO-STAGE DELAYED RECONSTRUCTION IN PATIENTS WITH BREAST CANCER AFTER MASTECTOMY

2018 ◽  
Vol 8 (2) ◽  
pp. 43-49
Author(s):  
A. D. Zikiryahodzhaev ◽  
E. A. Rasskazova
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Radical Mastectomy ◽  
Underlying Disease ◽  
Breast Size ◽  
Cancer Breast ◽  
Small Breast ◽  
Delayed Breast Reconstruction ◽  
Observation Period

Delayed breast reconstruction after performing radical mastectomy for cancer is a surgical method of rehabilitation of patients. Breast reconstruction is performed to improve the quality of life of patients with breast cancer. Breast restoration using expander is used in women with a small breast size, as well as in patients who refuse to use patchwork techniques of breast restoration. In P. A. Herzen MORI 27 patients with a diagnosis of breast cancer was performed in delayed breast reconstruction after radical mastectomy.To achieve symmetry in 51,9 % of cases the operations were also performed on the healthy breast. During the observation period up to 4 years, no signs of progression of the underlying disease were found in this group.

scholarly journals Clinical outcomes of patients after nipple-sparing mastectomy and reconstruction based on the expander/implant technique

Surgery Today ◽  
2020 ◽  
Author(s):  
Uhi Toh ◽  
Miki Takenaka ◽  
Nobutaka Iwakuma ◽  
Yoshito Akagi
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Gene Mutations ◽  
Cost Effective ◽  
Standard Of Care ◽  
Areolar Complex ◽  
Cost Effective Method ◽  
Nipple Sparing Mastectomy ◽  
Nipple Sparing ◽  
Breast Reconstructive Surgery

AbstractAdvances in multi-modality treatments incorporating systemic chemotherapy, endocrine therapy, and radiotherapy for the management of breast cancer have resulted in a surgical-management paradigm change toward less-aggressive surgery that combines the use of breast-conserving or -reconstruction therapy as a new standard of care with a higher emphasis on cosmesis. The implementation of skin-sparing and nipple-sparing mastectomies (SSM, NSM) has been shown to be oncologically safe, and breast reconstructive surgery is being performed increasingly for patients with breast cancer. NSM and breast reconstruction can also be performed as prophylactic or risk-reduction surgery for women with BRCA gene mutations. Compared with conventional breast construction followed by total mastectomy (TM), NSM preserving the nipple–areolar complex (NAC) with breast reconstruction provides psychosocial and aesthetic benefits, thereby improving patients’ cosmetic appearance and body image. Implant-based breast reconstruction (IBBR) has been used worldwide following mastectomy as a safe and cost-effective method of breast reconstruction. We review the clinical evidence about immediate (one-stage) and delayed (two-stage) IBBR after NSM. Our results suggest that the postoperative complication rate may be higher after NSM followed by IBBR than after TM or SSM followed by IBBR.

Patient informational needs about breast reconstruction post-mastectomy.

2012 ◽  
Vol 30 (27_suppl) ◽  
pp. 88-88
Author(s):  
Ivy A. Ahmed ◽  
Allison Harvey ◽  
Erica Weiss ◽  
Marni Amsellem
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Information Seeking ◽  
Breast Cancer Diagnosis ◽  
National Sample ◽  
Informational Needs ◽  
Chi Square ◽  
Reconstructive Procedures ◽  
Cancer Support ◽  
Reconstruction Methods

88 Background: For many women, receiving a breast cancer diagnosis is further complicated by decisions they will face about breast reconstruction post-mastectomy. While women are typically provided with some information about reconstruction options, little is known about the perceived value of this information and how it might ultimately affect their decision about reconstruction. The Cancer Support Community investigated these questions in a national sample of women with breast cancer to better understand their information-seeking experiences, knowledge, and decision-making about reconstruction. Methods: In 2011, 439 participants attending Frankly Speaking about Cancer: Spotlight on Breast Reconstruction, a national educational workshop, completed a post-workshop survey (56.4% response rate). 76.2% of respondents were women diagnosed with breast cancer, who reported their decisions about reconstruction as well as their experience receiving information about reconstruction. Results: Respondents were Caucasian (74.8%), black (11.4%), and Hispanic (10.1%), and the mean age was 48.9. Nearly half (42%) of respondents reported low levels of knowledge about breast reconstruction prior to the workshop. Of those eligible for breast reconstruction, 18.2% reported they had decided against reconstruction, 40.7% were considering their options, and 41.1% planned to undergo or had undergone reconstructive procedures. Women reported they would have liked to have had more information prior to reconstruction about a variety of topics, including more information about the procedure (43.6%), how they would look (31.1%) and feel (29.7%) after reconstruction, and information about their future breast health (31.8%). No differences were found in unmet informational needs based on their reconstruction decisional status with one exception: those who decided against reconstruction were more likely to endorse that they would have wanted more information about when to make their decision about reconstruction than the other two groups (chi square=24.6, p <.01). Conclusions: Findings suggest women facing breast reconstruction often are not equipped with comprehensive information about procedures, options, outcomes, and recovery.

scholarly journals Autologous Lipotransfer - Daily Therapeutic Practice in Breast Cancer: An Intergroup Analysis Encompassing NOGGO, WSG, GBG, AWO Gyn and DGPRÄC

Breast Care ◽  
2018 ◽  
Vol 14 (3) ◽  
pp. 165-169
Author(s):  
Aylin Kümmel ◽  
Sherko Kümmel ◽  
Jens-Uwe Blohmer ◽  
Andree Faridi ◽  
Ulrike Nitz ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Cancer Patients ◽  
Daily Practice ◽  
Primary Data ◽  
Breast Cancer Patients ◽  
Online Questionnaire ◽  
Autologous Fat Transfer ◽  
Risk Patients ◽  
Breast Reconstructive Surgery

Background: Autologous fat transfer in breast reconstruction has become increasingly important in breast reconstructive surgery. Although the indication to obtain fat, the various operative procedures, and the risks for the patient have been addressed in a large number of studies, detailed information on the everyday use of autologous lipotransfer in breast units in Germany is still lacking. Methods: The objective of the study was to obtain primary data on the use of autologous lipotransfer to treat breast cancer patients in Germany and to determine measures for quality assurance in the daily practice. An online questionnaire concerning breast cancer and lipofilling was sent to specialists in gynecology and plastic surgery. Results: Two-thirds of the specialists who responded to the questionnaire use autologous lipotransfer for breast reconstruction and did not report an increase of local recurrence following lipotransfer. There were only small differences between gynecologists and plastic surgeons regarding the procedure and indication for lipotransfer. The method is highly accepted by patients and physicians, and both gynecologists and plastic surgeons rated the improvement achieved through lipofilling as ‘high'. Conclusions: The lack of randomized controlled data, especially in high-risk patients, demonstrates the necessity for a registry study on this topic. Our survey describes, in detail, the indications for lipofilling as well as its appropriate application in breast cancer patients in Germany and may thereby reduce the present therapeutic uncertainties.

scholarly journals Korean Translation and Psychometric Evaluation of Korean Version EORTC QLQ-BRECON23

2020 ◽  
Vol 17 (24) ◽  
pp. 9163
Author(s):  
Soo-Kyung Bok ◽  
Youngshin Song ◽  
Ancho Lim ◽  
Hyunsuk Choi ◽  
Hyunkyung Shin ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Construct Validity ◽  
Breast Reconstruction ◽  
Cancer Center ◽  
European Organization ◽  
Korean Version ◽  
Reconstruction Methods ◽  
Group Validity

The purpose of this study was to evaluate the psychometric properties of the Korean version of the European Organization for Research and Treatment of Cancer Quality of Life-QLQ-BRECON23 in women diagnosed and treated for breast cancer undergoing all types of breast reconstruction. Methods: A total of 148 Korean women who underwent breast reconstruction were recruited from the breast cancer center to participate in the study. After performing forward and backward translation of the original English version of the questionnaire into Korean, its validity (construct, known-group validity, concurrent) and reliability were assessed. A structural equation model (SEM) was used to assess construct validity. Results: The mean age of the patients was 52 years, and 89.8% underwent implant-based reconstruction. Construct validity using confirmatory factor analysis showed a good fit, and the effect size was small-to-medium regarding known-group validity. Concurrent validity was confirmed by the significant correlation between the QLQ-BRECON23 and the QLQ-BR23. The reliability of the QLQ-BRECON23 symptom and function scales ranged from 0.61 to 0.87. Conclusion: The Korean QLQ-BRECON23 can be applied to assess quality of life and its related factors, and also to internationally compare the level of quality of life in breast cancer patients undergoing breast reconstruction.

scholarly journals Fast-Track Approach for Breast Reconstructive Surgery in Patients With Breast Cancer

2019 ◽  
Vol 13 ◽  
pp. 117822341987693
Author(s):  
Igor Motuziuk ◽  
Oleg Sydorchuk ◽  
Yevhenii Kostiuchenko ◽  
Natalia Kovtun ◽  
Petro Poniatovskyi
Keyword(s):  
Breast Cancer ◽  
Reconstructive Surgery ◽  
Fast Track ◽  
Breast Surgery ◽  
Long Term Results ◽  
Control Group ◽  
Core Group ◽  
The Core ◽  
Study Results ◽  
Breast Reconstructive Surgery

Aim: The aim of this study was to develop and implement the concept of fast-track surgery (FTS) for reconstructive breast surgery in patients with breast cancer (BC) to improve early and long-term results of treatment. Materials and methods: The study includes 749 patients with stage 1 to 3 BC. A total of 253 patients with BC got treatment according to FTS program and were included to the core group. Other 496 patients with BC (control group) were not included to the FTS program. Patients were treated from December 2010 to December 2014. All age groups were covered (18-70 years old). Results: There was a significant difference in the average length of hospital stay (LOS) which was 14.27 ± 7.00 days in the core group and 20.11 ± 7.70 days in the control group ( P < .001). In advanced BC cases in the core group, LOS was >8 days lower comparing with the control group on average. The LOS in patients who underwent adjuvant chemotherapy was 2.7 times lower in the FTS group comparing with the control group. Conclusions: The study results allow us to recommend the concept of FTS for implementation in broad medical practice for breast reconstructive surgery in patients with BC. The FTS program was shown to be effective in all types of breast surgery, including immediate oncoplastic and reconstructive surgeries. The gradual reduction of LOS increased the number of surgeries in our department by 75% from 2008 till 2018.

scholarly journals Acellular dermal matrices in immediate breast reconstruction: a literature review

2021 ◽  
Vol 8 (2) ◽  
pp. 933
Author(s):  
Mohammed Attallah Alharbi ◽  
Fahad K. Aljindan ◽  
Reshan Mane Al Reshan ◽  
Khalid Dakhelallah Almutairi ◽  
Fatimah Mofeed Almosabh ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Reconstructive Surgery ◽  
Capsular Contracture ◽  
Acellular Dermal Matrix ◽  
Immediate Breast Reconstruction ◽  
Dermal Matrix ◽  
Different Types ◽  
Dermal Matrices ◽  
Breast Reconstructive Surgery ◽  
Acellular Dermal

There has been an increase in invasive breast carcinoma which many times end up with a mastectomy. The psychological effects of mastectomy can be overwhelming, urging the need for optimum breast reconstruction procedures. Acellular dermal matrices are widely used nowadays due to their favorable outcomes with a few complications. In this study, we review the literature to explore the different types used, cons, and pros of this procedure. Databases like PubMed, Medline, Web of science, Embase, Google scholar, and Scopus were used and searched for following terms “implant-based reconstruction” or “breast reconstruction” or “acellular dermal matrix”. All studies that discuss the use of acellular dermal matrices for breast reconstructive surgery were included. Acellular dermal matrices may allow a relatively easy, affordable and time-efficient breast reconstructive surgery. They are associated with less incidence of infection and capsular contracture making them an excellent fit for most procedures. However, m ore studies are needed to help understand possible risk factors, and complications and how to avoid them.

scholarly journals The use of xenopericardium in reconstructive surgery in patients with breast cancer

2021 ◽  
Vol 67 (3) ◽  
pp. 374-381
Author(s):  
Dzerassa Ortabaeva ◽  
Aziz Zikiryakhodzhayev ◽  
Elena Rasskazova ◽  
Erik Saribekyan ◽  
Shakhnoz Khakimova ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Radiation Therapy ◽  
Breast Reconstruction ◽  
Reconstructive Surgery ◽  
Clinical Case ◽  
Subcutaneous Mastectomy ◽  
Good Cosmetic Result ◽  
Simultaneous Reconstruction ◽  
Good Cosmetic ◽  
Lower Slope

Objective: to analyze the possibility of using xenopericardium for breast reconstruction in cancer Materials and methods: the article presents a clinical case of a patient diagnosed with breast cancer who underwent a subcutaneous mastectomy with simultaneous reconstruction with an endoprosthesis and a xenopericardium to strengthen the lower slope of the breast. Results: in our study, a good cosmetic result was obtained, and the presence of xenopericardium does not affect the conduct of postoperative courses of chemotherapy and radiation therapy. Conclusion: we present the first experience of using bovine pericardium in Russia for breast reconstruction in patients with breast cancer. Xenopericardium BioLAB-PP/PA of domestic origin was used to strengthen the lower slope of the reconstructed MJ using a silicone implant.

scholarly journals Breast reconstruction following amputation for cancer

2009 ◽  
Vol 66 (6) ◽  
pp. 427-433
Author(s):  
Milan Visnjic ◽  
Predrag Kovacevic ◽  
Ljiljana Paunkovic ◽  
Goran Djordjevic ◽  
Dragana Budjevac ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Radical Mastectomy ◽  
Late Complications ◽  
Tram Flap ◽  
Primary Reconstruction ◽  
Modified Radical Mastectomy ◽  
Reconstruction Methods ◽  
Acceptable Method ◽  
Flap Elevation

Background/Aim. Today, breast reconstruction is a widely accepted method in the treatment of breast cancer after modified radical mastectomy. Reconstruction methods are associated with an acceptable number of complications and reconstruction favorably impacts quality of life. The aim of the study was to present our experience in breast reconstruction. Methods. We presented here a four-year experience with 84 patients with breast reconstruction after modified radical mastectomy. Results. Implant reconstructions were most common, 44 (52.3%), with primary reconstruction in 31(70.4%) and secondary in 13 (29.5%) women. Lattisimus dorsi flap (LDF) and implant were utilized in 32 (38%) of the patients, with primary reconstruction in 24 (75%) and secondary in 8 (25%) women. Transversal rectus abdominis myocutaneous (TRAM) flap was rarely used - just in 8 (9.5%) patients and only for secondary breast reconstruction. Postoperatively, some early complications such as hematoma, seroma, infections and partial flap necrosis were observed in 10 (11.9%) patients. Late complications, such as implant rejection, hypertrophic scarring and hernias at the flap elevation site, were noted in 10 (11.9%) cases. Implant loss occurred in 5 (5.9%) cases. All the complications were successfully managed, and patients rated their reconstruction as follows: excellent, 49 (59%) cases; very good, 20 (24%), and good, 14 (16.8%). In one case, disease progression was observed 6 months after the primary breast reconstruction. Conclusion. Breast reconstruction is an acceptable method in the treatment of breast cancer in patients in the need for or with already performed mastectomy. The choice of reconstruction approach depends on the breast volume, patient's wish and experience of surgical team. Our results suggest the advantage of breast reconstruction with LDF with implant, since the technique is safe, complications relatively rare and easily manageable, and the results are excellent or very good in each woman.

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