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Vol 71, No 6 (2021)
Review paper
Published online: 2021-12-06
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The risk of reconstruction failure following a mastectomy, breast reconstruction and radiotherapy depending on the reconstruction technique

Anna Niwińska1
DOI: 10.5603/NJO.2021.0072
·
Nowotwory. Journal of Oncology 2021;71(6):373-382.
Affiliations
  1. Department of Breast Cancer and Reconstructive Surgery, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland

open access

Vol 71, No 6 (2021)
Review article
Published online: 2021-12-06

Abstract

Improvements in the recently observed breast reconstruction surgery techniques have changed the clinical practice in patients with breast cancer. Nowadays, every patient diagnosed with breast cancer clinical stage I, II and III, except for inflammatory breast cancer, should have the opportunity to undergo breast reconstruction. Radiation therapy increases the risk of complications following reconstruction. The aim of this paper is to review the current literature in an attempt to select the safest and most convenient reconstruction technique in patients requiring radiation therapy. Immediate autologous breast reconstruction seems to be the best option, but everyday clinical practice seems to contradict the conclusions from these data. The choice of the reconstruction type depends not only on the rate of complications but on the surgeon’s skills, the patient’s preference and the hospital’s equipment.

Abstract

Improvements in the recently observed breast reconstruction surgery techniques have changed the clinical practice in patients with breast cancer. Nowadays, every patient diagnosed with breast cancer clinical stage I, II and III, except for inflammatory breast cancer, should have the opportunity to undergo breast reconstruction. Radiation therapy increases the risk of complications following reconstruction. The aim of this paper is to review the current literature in an attempt to select the safest and most convenient reconstruction technique in patients requiring radiation therapy. Immediate autologous breast reconstruction seems to be the best option, but everyday clinical practice seems to contradict the conclusions from these data. The choice of the reconstruction type depends not only on the rate of complications but on the surgeon’s skills, the patient’s preference and the hospital’s equipment.

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Keywords

breast cancer, breast reconstruction; implant reconstruction; pre-pectoral reconstruction; subcutaneous implant reconstruction

About this article
Title

The risk of reconstruction failure following a mastectomy, breast reconstruction and radiotherapy depending on the reconstruction technique

Journal

Nowotwory. Journal of Oncology

Issue

Vol 71, No 6 (2021)

Article type

Review paper

Pages

373-382

Published online

2021-12-06

Page views

6050

Article views/downloads

458

DOI

10.5603/NJO.2021.0072

Bibliographic record

Nowotwory. Journal of Oncology 2021;71(6):373-382.

Keywords

breast cancer
breast reconstruction
implant reconstruction
pre-pectoral reconstruction
subcutaneous implant reconstruction

Authors

Anna Niwińska

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