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Type and Timing of Breast Reconstruction
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| The following patients have 2 cm, poorly
differentiated, ER-negative, infiltrating ductal carcinoma
and wish to undergo mastectomy and reconstruction. What
type and timing of breast reconstruction would you generally
recommend?
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While at least half of the surgeons (in the community and attending
the Miami meeting) would perform reconstruction with a TRAM flap
in a 43-year-old woman, significantly fewer would do so in a 62-year-old
woman, with more surgeons opting to use breast implants for reconstruction.
About half of the surgeons recommend immediate as opposed to delayed
reconstruction.
Morrow et al. Factors influencing the use of breast reconstruction
postmastectomy: A national cancer database study. J Am Coll
Surg 2001:1(192);1-8. Abstract
Tran NV et al. Comparison of immediate and delayed free TRAM
flap breast reconstruction in patients receiving postmastectomy
radiation therapy. Plast Reconstr Surg 2001;108(1):78-82.
Abstract
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