Reduction mammaplasty in the previously radiated breast: is it safe and does it interfere oncologically?

Reduction mammaplasty in the previously radiated breast: is it safe and does it interfere... Lumpectomy with axillary dissection followed by irradiation for early breast cancer, also known as breast conservation therapy, offers less radical surgery with similar rates of survival and recurrences. However, following radiation therapy, temporary and permanent, early and late changes of the breast soft tissue can occur. Thus, any subsequent elective surgery can potentially end in disappointment and disaster. The safety of reduction mammaplasty following irradiation and its effect on oncological follow-up are not well known. In this case report, a 39-year-old female patient is presented. Her breast carcinoma was treated with breast conservation therapy plus irradiation, followed by breast reduction using the inferior pedicle technique 2.5 years later. Postoperative healing was uneventful with no postoperative complications and the aesthetic result was satisfactory. We strongly believe that surgery should be delayed until resolution of the early signs of radiotherapy. Regardless of the technique, if surgical steps are performed delicately on appropriately selected patients, reduction mammaplasty can be accomplished safely. Of course, pathological evaluation of the resected material, as well as postoperative mammograms are essential in order to detect any recurrence. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Reduction mammaplasty in the previously radiated breast: is it safe and does it interfere oncologically?

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Publisher
Springer-Verlag
Copyright
Copyright © 2005 by Springer-Verlag
Subject
Medicine
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-005-0803-6
Publisher site
See Article on Publisher Site

Abstract

Lumpectomy with axillary dissection followed by irradiation for early breast cancer, also known as breast conservation therapy, offers less radical surgery with similar rates of survival and recurrences. However, following radiation therapy, temporary and permanent, early and late changes of the breast soft tissue can occur. Thus, any subsequent elective surgery can potentially end in disappointment and disaster. The safety of reduction mammaplasty following irradiation and its effect on oncological follow-up are not well known. In this case report, a 39-year-old female patient is presented. Her breast carcinoma was treated with breast conservation therapy plus irradiation, followed by breast reduction using the inferior pedicle technique 2.5 years later. Postoperative healing was uneventful with no postoperative complications and the aesthetic result was satisfactory. We strongly believe that surgery should be delayed until resolution of the early signs of radiotherapy. Regardless of the technique, if surgical steps are performed delicately on appropriately selected patients, reduction mammaplasty can be accomplished safely. Of course, pathological evaluation of the resected material, as well as postoperative mammograms are essential in order to detect any recurrence.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Jan 1, 2006

References

  • Radiation complications following breast conserving therapy
    Ikushima, H; Takegawa, Y; Yasuda, H; Makimoto, Y; Matsuzaki, K; Kashihara, K; Ueno, J; Sasa, M; MorimotoT; Nishitani, H
  • Radiation-induced skin fibrosis after treatment of breast cancer: profilometric analysis
    Bourgeois, JF; Gourgou, S; Kramar, A; Lagarde, JM; Gall, Y; Guillot, B

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