| Abstract | AIMS: The timing of breast reconstruction following mastectomy has been an area of contention. The purpose of this study was to report the oncologic safety of mastectomy and immediate breast reconstruction, primarily with a tissue expander. METHODS: We offered 54 patients (58 reconstructions) an immediate breast reconstruction after a modified radical mastectomy was done for invasive breast cancer. RESULTS: Fifty-eight mastectomies were done for an invasive cancer. Thirteen out of 54 women suffered relapse of their cancer and nine patients died of their disease during the follow-up period. Only in one patient a local recurrence was detected at an early stage and treated without removal of the prosthesis. Disease free survival for all patients was 93% at 5 years. CONCLUSION: Immediate breast reconstruction after mastectomy is an oncologically safe approach and represents a clear improvement in the quality of life for patients with breast cancer. Thus this procedure can safely be offered to appropriately selected women. |
| Authors | A Knottenbelt, P H M Spauwen, Th Wobbes
(Affiliation: Department of Surgery, University Medical Centre Nijmegen, P.O. Box 9101, 6500HB Nijmegen, The Netherlands.)
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| Journal | European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
(Eur J Surg Oncol)
Vol. 30
Issue 8
Pg. 829-33
(Oct 2004)
ISSN: 0748-7983 England |
| PMID | 15336727
(Publication Type: Comparative Study, Journal Article)
|
| Topics |
- Adult
- Age Distribution
- Aged
- Breast Neoplasms
(mortality, pathology, surgery)
- Cohort Studies
- Disease-Free Survival
- Female
- Humans
- Mammaplasty
(adverse effects, methods)
- Mastectomy
(methods)
- Middle Aged
- Neoplasm Invasiveness
(pathology)
- Neoplasm Recurrence, Local
(epidemiology, pathology, therapy)
- Neoplasm Staging
- Netherlands
- Patient Selection
- Prognosis
- Retrospective Studies
- Risk Assessment
- Surgical Flaps
- Survival Analysis
- Time Factors
- Treatment Outcome
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