open access
Adjuvant radiation therapy after immediate implant-based breast reconstruction
Affiliations- Department of Radiotherapy, Military Institute of Medicine, Warsaw, Poland
- Department of Radiotherapy, Regional Oncology Centre, Czestochowa, Poland
open access
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.
Keywords
adjuvant radiotherapy; alloplastic reconstruction; immediate breast reconstruction; implant-based reconstruction; postmastectomy radiotherapy
About this articleTitle
Adjuvant radiation therapy after immediate implant-based breast reconstruction
Journal
Nowotwory. Journal of Oncology
Issue
Article type
Review paper
Pages
20-25
Published online
2020-03-03
Page views
1895
Article views/downloads
1363
DOI
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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