open access

Vol 70, No 1 (2020)
Review article
Published online: 2020-03-03
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Adjuvant radiation therapy after immediate implant-based breast reconstruction

Joanna Socha
DOI: 10.5603/NJO.2020.0004
·
Nowotwory. Journal of Oncology 2020;70(1):20-25.

open access

Vol 70, No 1 (2020)
Review article
Published online: 2020-03-03

Abstract

The role of radiotherapy in the postmastectomy setting with substantial lymph node burden or locally advanced disease has been well described. In the last decade, the indications for postmastectomy radiotherapy (PMRT) have expanded in light of a measurable disease-free survival benefit, even in T1–2N1-patient subgroup. Concurrently, immediate breast reconstruction (IBR) rates after mastectomy are rapidly increasing. Optimal integration of IBR and PMRT is challenging, as PMRT has a known deleterious effect on reconstruction outcomes and IBR has been reported to pose challenges to PMRT delivery. Implant-based reconstruction is the most common type of IBR performed nowadays. This article reviews the current problems regarding integration of the implant-based IBR with optimum radiation delivery and discusses the advantages and disadvantages of each reconstruction method with PMRT.

Abstract

The role of radiotherapy in the postmastectomy setting with substantial lymph node burden or locally advanced disease has been well described. In the last decade, the indications for postmastectomy radiotherapy (PMRT) have expanded in light of a measurable disease-free survival benefit, even in T1–2N1-patient subgroup. Concurrently, immediate breast reconstruction (IBR) rates after mastectomy are rapidly increasing. Optimal integration of IBR and PMRT is challenging, as PMRT has a known deleterious effect on reconstruction outcomes and IBR has been reported to pose challenges to PMRT delivery. Implant-based reconstruction is the most common type of IBR performed nowadays. This article reviews the current problems regarding integration of the implant-based IBR with optimum radiation delivery and discusses the advantages and disadvantages of each reconstruction method with PMRT.

Get Citation

Keywords

adjuvant radiotherapy; alloplastic reconstruction; immediate breast reconstruction; implant-based reconstruction; postmastectomy radiotherapy

About this article
Title

Adjuvant radiation therapy after immediate implant-based breast reconstruction

Journal

Nowotwory. Journal of Oncology

Issue

Vol 70, No 1 (2020)

Pages

20-25

Published online

2020-03-03

DOI

10.5603/NJO.2020.0004

Bibliographic record

Nowotwory. Journal of Oncology 2020;70(1):20-25.

Keywords

adjuvant radiotherapy
alloplastic reconstruction
immediate breast reconstruction
implant-based reconstruction
postmastectomy radiotherapy

Authors

Joanna Socha

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