Comparison Among the Levels of Patients ’ Satisfaction According to the Surgical Technique Used in Breast Reconstruction After Mastectomy
Conclusions Patients reconstructed with autologous tissue have higher levels of satisfaction than those reconstructed with implants.
In Reply We thank Han and Lee for their insightful comments regarding our article. As Han and Lee suggest, we agree that the analysis of distant metastasis (DM) –free survival might include selection bias because the patients with cancer recurrence at the nipple-areola complex (NAC) as the first event had already survived for a long duration without DM before being assigned to the recurrence group. Nevertheless, in our study, of the 39 patients who experi enced recurrence at the NAC as the first event, 2 developed subsequent DM (5.1%). Meanwhile, of the 923 patients who did not experience recurrence at the NAC as the...
To the Editor Wu et al retrospectively analyzed the patients who received nipple-sparing mastectomy (NSM). They compared the distant metastasis-free survival and overall survival between patients with cancer recurrence at the nipple-areola complex (NAC) and without it. The 10-year distant metastasis-free survival rates were 89.3% among patients with cancer recurrence at the NAC and 94.3% among patients without recurrence (P = .95).
Immediate Post Mastectomy Alloplastic Breast Reconstruction (IPMABR) traditionally requires a post-operative overnight stay. Recent initiatives have identified same day discharge as a safe option.
The flap necrosis rate remains high despite the advancement of technology in daily practices. Several randomized trials of topical Nitroglycerin (NTG) have shown promise in reducing flap necrosis. We aim to evaluate the efficacy and safety of topical NTG in preventing flap failure based on existing databases.
The objective was to compare post-operative complication rates among patients treated with partial mastectomy (PM), unilateral mastectomy (UM), and bilateral mastectomy (BM) after NAC.
Publication date: Available online 20 January 2020Source: Pathology - Research and PracticeAuthor(s): In Hye Song, Sook-Hee Hong, Kyo Yeong Lee, Jun Kang, Sung Hak Lee, Jieun Lee, Ahwon LeeAbstractDevelopment of molecular technology has led to the expansion of next generation sequencing (NGS) in area of diagnostic pathology. Here we present a case in which a lung tumor, which resembled an atypical carcinoid tumor, was revealed as metastatic breast cancer by next generation sequencing. A 50-year-old female, who had received modified radical mastectomy for breast cancer, presented with a 2.1 cm sized lung mass. The ma...
Breast cancer is the most commonly diagnosed invasive cancer in women worldwide. The physical and psychological consequences of breast cancer can be somewhat mitigated with reconstruction, making it an integral part of the treatment approach in women requiring mastectomy.1 With improvements in surgical management, increasing amounts of the native breast skin can be spared with oncologic safety. This skin sparing approach has improved aesthetic outcomes, but it does not affect the loss of sensation in the breast, one of the most commonly reported deficiencies after mastectomy.
AbstractOmental flap was introduced for breast reconstruction after mastectomy either alone or as an adjunct to prosthetic reconstruction. Laparoscopically harvested omental flap was used successfully for this issue. Most of reports had described its use after partial mastectomy, skin or nipple areola sparing mastectomies. In this case, we used the thoracodorsal artery perforator (Tdap) flap as a cover for the omental flap in a patient who underwent modified radical mastectomy. Modified radical mastectomy was done in the usual fashion. The descending branch of the thoracodorsal vessel was traced till its main perforator in...
ConclusionOverall, these guidelines provide consistent recommendations on who should receive breast reconstruction education, who is a candidate for postmastectomy breast reconstruction, and the appropriate timing of reconstruction and extent of mastectomy. Future updates from all should focus on expanding to include alloplastic and autologous forms of reconstruction and should include a broad scope of relevant questions.
We read with great interest the retrospective matched cohort study by Dewael et al.1 on immediate versus delayed autologous breast reconstruction in the context of post mastectomy radiotherapy (PMRT). We would like to raise some important issues compromising the interpretation of the data and conclusion.