A multidisciplinary approach for autologous breast reconstruction: A narrative (re)view for better management

Orit Kaidar-Person*, Naama Hermann, Philip Poortmans, Birgitte Offersen, Liesbeth J. Boersma, Dirk de Ruysscher, Trine Tramm, Thorsten Kuhn, Tine Engberg Damsgaard, Oreste Gentilini, Wies Maarse, Miri Sklair-Levi, Zoltan Matrai

*Corresponding author for this work

Research output: Contribution to journal(Systematic) Review article peer-review

5 Citations (Web of Science)

Abstract

Breast reconstruction and oncoplastic surgery have become an important part of breast cancer care. The use of autologous breast reconstruction (ABR) has evolved significantly with advances in microsurgery, aiming to reduce donor site complications and improve cosmesis. For years, immediate-ABR was considered a contraindication if postmastectomy irradiation (PMRT) was planned. As a result of de-escalation of axillary surgery the indication of PMRT are increasing along-side with observations that PMRT in the setting of ABR is not contraindicated. Surgical techniques may result in different amount and areas of breast residual glandular tissue and patient selection is important to reduce potential residual disease. Meticulus radiation planning is important to potentially reduce complications without compromising oncologic outcomes. Surgical techniques change constantly in aim to improve aesthetic results but should most importantly maintain priority to the oncological indications. By multidisciplinary team work with a comprehensive understanding of each discipline, we can preserve the accomplishments of breast surgery in the setting of PMRT, without compromising disease control. (C) 2021 Elsevier B.V. All rights reserved.

Original languageEnglish
Pages (from-to)263-271
Number of pages9
JournalRadiotherapy and Oncology
Volume157
DOIs
Publication statusPublished - Apr 2021

Keywords

  • Breast cancer
  • Reconstruction
  • Autologous
  • Radiation therapy
  • INTERNAL MAMMARY VESSELS
  • POSTMASTECTOMY RADIATION-THERAPY
  • RADIOTHERAPY HYPOFRACTIONATION
  • UK STANDARDIZATION
  • IMMEDIATE RECONSTRUCTION
  • SPARING MASTECTOMY
  • RECIPIENT VESSELS
  • FOLLOW-UP
  • FREE TRAM
  • CANCER

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