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Using Complications Associated With Postmastectomy Radiation and Immediate Breast Reconstruction to Improve Surgical Decision Making

Using Complications Associated With Postmastectomy Radiation and Immediate Breast Reconstruction... PAPER Using Complications Associated With Postmastectomy Radiation and Immediate Breast Reconstruction to Improve Surgical Decision Making Dara Christante, MD; SuEllen J. Pommier, PhD; Brian S. Diggs, PhD; Bethany T. Samuelson, BA; AiLien Truong, BS; Carol Marquez, MD; Juliana Hansen, MD; Arpana M. Naik, MD; John T. Vetto, MD; Rodney F. Pommier, MD Objectives: To identify factors independently associ- 7% who did not (P.001). Postmastectomy irradiation ated with surgical complications in oncologic and recon- independently predicted the occurrence of a complica- structive surgery and to examine sentinel lymph node tion (odds ratio, 3.3; P.001). Implants were removed (SLN) biopsy data, along with variables that are typi- in 31% of patients who underwent PMRT and 6% of pa- cally known prior to definitive resection, for their abil- tients who did not (P=.005). Three percent of patients ity to impact the prediction of need for postmastectomy with T2 or smaller tumors and zero positive SLN re- irradiation (PMRT). quired PMRT. Among those with T2 tumors, 49% with a positive axilla lymph node underwent PMRT. Inde- Design: Retrospective review. pendent predictors of PMRT need were T2 vs T1 tu- mors, positive axillary lymph node status, and the num- Setting: University hospital. ber of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Surgery American Medical Association

Using Complications Associated With Postmastectomy Radiation and Immediate Breast Reconstruction to Improve Surgical Decision Making

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References (30)

Publisher
American Medical Association
Copyright
Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6254
eISSN
2168-6262
DOI
10.1001/archsurg.2010.170
pmid
20855758
Publisher site
See Article on Publisher Site

Abstract

PAPER Using Complications Associated With Postmastectomy Radiation and Immediate Breast Reconstruction to Improve Surgical Decision Making Dara Christante, MD; SuEllen J. Pommier, PhD; Brian S. Diggs, PhD; Bethany T. Samuelson, BA; AiLien Truong, BS; Carol Marquez, MD; Juliana Hansen, MD; Arpana M. Naik, MD; John T. Vetto, MD; Rodney F. Pommier, MD Objectives: To identify factors independently associ- 7% who did not (P.001). Postmastectomy irradiation ated with surgical complications in oncologic and recon- independently predicted the occurrence of a complica- structive surgery and to examine sentinel lymph node tion (odds ratio, 3.3; P.001). Implants were removed (SLN) biopsy data, along with variables that are typi- in 31% of patients who underwent PMRT and 6% of pa- cally known prior to definitive resection, for their abil- tients who did not (P=.005). Three percent of patients ity to impact the prediction of need for postmastectomy with T2 or smaller tumors and zero positive SLN re- irradiation (PMRT). quired PMRT. Among those with T2 tumors, 49% with a positive axilla lymph node underwent PMRT. Inde- Design: Retrospective review. pendent predictors of PMRT need were T2 vs T1 tu- mors, positive axillary lymph node status, and the num- Setting: University hospital. ber of

Journal

JAMA Surgery – American Medical Association

Published: Sep 1, 2010

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