open access
Is mastectomy with immediate breast reconstruction an alternative to breast-conserving treatment?
open access
Abstract
Beside the fact that breast-conserving treatment is the method of choice in early breast cancer, several studies have demonstrated good results when mastectomy is involved in the treatment. Such studies are currently increasing. Immediate breast reconstruction is gaining popularity as the method that mitigates post-mastectomy deformation. Comparing breast-conserving treatment and immediate breast reconstruction after mastectomy both methods did not worsen the treatment outcome and have a positive impact to quality of life. However, the complications rate is higher after mastectomy with immediate breast reconstruction, especially in the subgroup of patients receiving postmastectomy radiotherapy. Breast-conserving therapy additionally gives the opportunity to avoid axillary lymph nodes dissection in the subgroup of patients with positive 1–2 sentinel nodes. It should be taken into consideration when a treatment schedule is established, that breast-conserving therapy has an advantage regarding risk of complications.
Abstract
Beside the fact that breast-conserving treatment is the method of choice in early breast cancer, several studies have demonstrated good results when mastectomy is involved in the treatment. Such studies are currently increasing. Immediate breast reconstruction is gaining popularity as the method that mitigates post-mastectomy deformation. Comparing breast-conserving treatment and immediate breast reconstruction after mastectomy both methods did not worsen the treatment outcome and have a positive impact to quality of life. However, the complications rate is higher after mastectomy with immediate breast reconstruction, especially in the subgroup of patients receiving postmastectomy radiotherapy. Breast-conserving therapy additionally gives the opportunity to avoid axillary lymph nodes dissection in the subgroup of patients with positive 1–2 sentinel nodes. It should be taken into consideration when a treatment schedule is established, that breast-conserving therapy has an advantage regarding risk of complications.
Keywords
breast cancer, mastectomy, immediate breast reconstruction, breast-conservation
About this articleTitle
Is mastectomy with immediate breast reconstruction an alternative to breast-conserving treatment?
Journal
Nowotwory. Journal of Oncology
Issue
Article type
Review paper
Pages
216-221
Published online
2016-07-12
Page views
1067
Article views/downloads
6274
DOI
Bibliographic record
Nowotwory. Journal of Oncology 2016;66(3):216-221.
Keywords
breast cancer
mastectomy
immediate breast reconstruction
breast-conservation
Authors
Piotr Pluta
Janusz Piekarski