Abstract
Breast reconstruction in previously irradiated patients represents a difficult challenge to the surgeon due to the higher rates of complication and reconstruction failure that occur in this group of patients, especially with implants. Flaps remain the primary option, although for some very well-selected patients, implants can achieve satisfactory results with low rates of short- and long-term complications. The purpose of this chapter was to establish an algorithm for breast reconstruction after recurrence of breast cancer in patients previously submitted to breast-conserving surgery and exposed to irradiation.
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References
Clarke M, Collins R, Darby S, Davies C, Elphinstone P, Evans V et al (2005) Effects of radiotherapy and of differences in the extent of surgery for early breast cancer on local recurrence and 15-year survival: an overview of the randomised trials. Lancet 366(9503):2087–2106
Hubenak JR, Zhang Q, Branch CD, Kronowitz SJ (2014) Mechanisms of injury to normal tissue after radiotherapy: a review. Plast Reconstr Surg 133(1):49e–56e
Agarwal S, Kidwell KM, Farberg A, Kozlow JH, Chung KC, Momoh AO (2015) Immediate reconstruction of the radiated breast: recent trends contrary to traditional standards. Ann Surg Oncol 22(8):2551–2559
Kronowitz SJ (2012) Current status of implant-based breast reconstruction in patients receiving postmastectomy radiation therapy. Plast Reconstr Surg 130(4):513e–523e
Lee KT, Mun GH (2015) Prosthetic breast reconstruction in previously irradiated breasts: a meta-analysis. J Surg Oncol 112(5):468–475
Evans GR, Schusterman MA, Kroll SS, Miller MJ, Reece GP, Robb GL et al (1995) Reconstruction and the radiated breast: is there a role for implants? Plast Reconstr Surg 96(5):1111–1115; discussion 6–8
Percec I, Bucky LP (2008) Successful prosthetic breast reconstruction after radiation therapy. Ann Plast Surg 60(5):527–531
Behranwala KA, Dua RS, Ross GM, Ward A, A’Hern R, Gui GP (2006) The influence of radiotherapy on capsule formation and aesthetic outcome after immediate breast reconstruction using biodimensional anatomical expander implants. J Plast Reconstr Aesthet Surg 59(10):1043–1051
Ascherman JA, Hanasono MM, Newman MI, Hughes DB (2006) Implant reconstruction in breast cancer patients treated with radiation therapy. Plast Reconstr Surg 117(2):359–365
Benediktsson K, Perbeck L (2006) Capsular contracture around saline-filled and textured subcutaneously-placed implants in irradiated and non-irradiated breast cancer patients: five years of monitoring of a prospective trial. J Plast Reconstr Aesthet Surg 59(1):27–34
Tallet AV, Salem N, Moutardier V, Ananian P, Braud AC, Zalta R et al (2003) Radiotherapy and immediate two-stage breast reconstruction with a tissue expander and implant: complications and esthetic results. Int J Radiat Oncol Biol Phys 57(1):136–142
Urban C, Blaszkowski D, e Silva JL, Maia T, Eduardo S, Lima RR (2011) One-stage breast reconstruction with implants in previously irradiated patients. Rev Bras Mastologia 20(4):183–186
McCormick B, Wright J, Cordiero P (2008) Breast reconstruction combined with radiation therapy: long-term risks and factors related to decision making. Cancer J 14(4):264–268
Cagli B, Barone M, Ippolito E, Cogliandro A, Silipigni S, Ramella S et al (2016) Ten years experience with breast reconstruction after salvage mastectomy in previously irradiated patients: analysis of outcomes, satisfaction and well-being. Eur Rev Med Pharmacol Sci 20(22):4635–4641
Momoh AO, Ahmed R, Kelley BP, Aliu O, Kidwell KM, Kozlow JH et al (2014) A systematic review of complications of implant-based breast reconstruction with prereconstruction and postreconstruction radiotherapy. Ann Surg Oncol 21(1):118–124
Sbitany H, Serletti JM (2011) Acellular dermis-assisted prosthetic breast reconstruction: a systematic and critical review of efficacy and associated morbidity. Plast Reconstr Surg 128(6):1162–1169
Krishnan NM, Chatterjee A, Rosenkranz KM, Powell SG, Nigriny JF, Vidal DC (2014) The cost effectiveness of acellular dermal matrix in expander-implant immediate breast reconstruction. J Plast Reconstr Aesthet Surg 67(4):468–476
Urban C, Faccenda PH, Veloso MLCPB, de Araújo FA, Mendes E, Lima RSL (2016) Uso do pericárdio bovino na reconstrução mamária imediata com prótese definitiva em paciente previamente irradiada. Rev Bras Mastologia 26(2):83–86
Mofid MM, Meininger MS, Lacey MS (2012) Veritas(R) bovine pericardium for immediate breast reconstruction: a xenograft alternative to acellular dermal matrix products. Eur J Plast Surg 35(10):717–722
Schneider WJ, Hill HL Jr, Brown RG (1977) Latissimus dorsi myocutaneous flap for breast reconstruction. Br J Plast Surg 30(4):277–281
Scheflan M, Hartrampf CR, Black PW (1982) Breast reconstruction with a transverse abdominal island flap. Plast Reconstr Surg 69(5):908–909
Williams JK, Bostwick J 3rd, Bried JT, Mackay G, Landry J, Benton J (1995) TRAM flap breast reconstruction after radiation treatment. Ann Surg 221(6):756–764; discussion 64–6
Kroll SS, Schusterman MA, Reece GP, Miller MJ, Smith B (1994) Breast reconstruction with myocutaneous flaps in previously irradiated patients. Plast Reconstr Surg 93(3):460–469; discussion 70–1
Schuster RH, Kuske RR, Young VL, Fineberg B (1992) Breast reconstruction in women treated with radiation therapy for breast cancer: cosmesis, complications, and tumor control. Plast Reconstr Surg 90(3):445–452; discussion 53–4
Schuster RH (1993) Breast reconstruction in women treated with radiation therapy for breast cancer. Plast Reconstr Surg 91(5):967
Hardwicke JT, Prinsloo DJ (2011) An analysis of 277 consecutive latissimus dorsi breast reconstructions: a focus on capsular contracture. Plast Reconstr Surg 128(1):63–70
Garusi C, Lohsiriwat V, Brenelli F, Galimberti VE, De Lorenzi F, Rietjens M et al (2011) The value of latissimus dorsi flap with implant reconstruction for total mastectomy after conservative breast cancer surgery recurrence. Breast 20(2):141–144
Leonardi MC, Garusi C, Santoro L, Dell’Acqua V, Rossetto F, Didier F et al (2010) Impact of medical discipline and observer gender on cosmetic outcome evaluation in breast reconstruction using transverse rectus abdominis myocutaneous (TRAM) flap and radiotherapy. J Plast Reconstr Aesthet Surg 63(12):2091–2097
Barry M, Kell MR (2011) Radiotherapy and breast reconstruction: a meta-analysis. Breast Cancer Res Treat 127(1):15–22
Cordeiro PG, Snell L, Heerdt A, McCarthy C (2012) Immediate tissue expander/implant breast reconstruction after salvage mastectomy for cancer recurrence following lumpectomy/irradiation. Plast Reconstr Surg 129(2):341–350
Fischer JP, Basta MN, Shubinets V, Serletti JM, Fosnot J (2016) A systematic meta-analysis of prosthetic-based breast reconstruction in irradiated fields with or without autologous muscle flap coverage. Ann Plast Surg 77(1):129–134
Chetta MD, Aliu O, Zhong L, Sears ED, Waljee JF, Chung KC et al (2017) Reconstruction of the irradiated breast: a national claims-based assessment of postoperative morbidity. Plast Reconstr Surg 139(4):783–792
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Urban, C., Zucca-Matthes, G., Vieira, R., Rietjens, M., Rabinovich, I. (2019). Immediate Breast Reconstruction in Previously Irradiated Patients. In: Urban, C., Rietjens, M., El-Tamer, M., Sacchini, V.S. (eds) Oncoplastic and Reconstructive Breast Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-62927-8_60
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DOI: https://doi.org/10.1007/978-3-319-62927-8_60
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