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Late results of skin sparing mastectomy followed by immediate breast reconstruction

Late results of skin sparing mastectomy followed by immediate breast reconstruction
Late results of skin sparing mastectomy followed by immediate breast reconstruction
Background: skin-sparing mastectomy (SSM) facilitates optimal immediate breast reconstruction (IBR) by preserving the inframammary fold and most of the breast skin. Concerns persist that SSM might increase the rate of local recurrence as the surgical approach is less extensive. Patients who had SSM and IBR over 10 years at a single institution were reviewed.

Methods: a total of 207 consecutive women who underwent SSM and IBR from 1992 to 2001 were included in the study. The patient records were analysed retrospectively and follow-up data were included.

Results: postoperative complications included native skin flap necrosis (10·1 per cent), haematoma (10·6 per cent), infection (3·4 per cent), anastomotic thrombosis (5·3 per cent) and hernia (2·6 per cent). During a mean follow-up of 70 months, 5·8 per cent of patients with stage 0-2 disease developed a locoregional recurrence, although none of these later had a systemic recurrence. The rate of locoregional recurrence was 31 per cent (five of 16) in women with stage 3 breast cancer.

Conclusion: SSM followed by IBR was both surgically and oncologically safe, especially for early-stage breast cancer.
1220-1225
Cutress, R.I.
68ae4f86-e8cf-411f-a335-cdba51797406
Agrawal, A.
6f9fe130-fc73-4d92-8052-967879ae7810
Meretoja, T.J.
fa5ad96c-3837-42ad-96d3-2a263495a089
Rasia, S.
617a934f-d37e-46cb-a2c8-d99adfc9e141
von Smitten, K.A.J.
f1ef38a8-a16f-4e0d-9dd0-d90584e7bd48
Asko-Seljavaara, S.L.
0455be6f-21f8-449b-8422-44ef8ea398c3
Kuokkanen, H.O.M.
5ad47d5f-065e-4df6-8e39-0cfde7da708d
Jahkola, T.A.
1977dd0e-2484-4bc7-9415-0515e904fef0
Cutress, R.I.
68ae4f86-e8cf-411f-a335-cdba51797406
Agrawal, A.
6f9fe130-fc73-4d92-8052-967879ae7810
Meretoja, T.J.
fa5ad96c-3837-42ad-96d3-2a263495a089
Rasia, S.
617a934f-d37e-46cb-a2c8-d99adfc9e141
von Smitten, K.A.J.
f1ef38a8-a16f-4e0d-9dd0-d90584e7bd48
Asko-Seljavaara, S.L.
0455be6f-21f8-449b-8422-44ef8ea398c3
Kuokkanen, H.O.M.
5ad47d5f-065e-4df6-8e39-0cfde7da708d
Jahkola, T.A.
1977dd0e-2484-4bc7-9415-0515e904fef0

Cutress, R.I., Agrawal, A., Meretoja, T.J., Rasia, S., von Smitten, K.A.J., Asko-Seljavaara, S.L., Kuokkanen, H.O.M. and Jahkola, T.A. (2007) Late results of skin sparing mastectomy followed by immediate breast reconstruction. British Journal of Surgery, 94 (10), 1220-1225. (doi:10.1002/bjs.5815).

Record type: Article

Abstract

Background: skin-sparing mastectomy (SSM) facilitates optimal immediate breast reconstruction (IBR) by preserving the inframammary fold and most of the breast skin. Concerns persist that SSM might increase the rate of local recurrence as the surgical approach is less extensive. Patients who had SSM and IBR over 10 years at a single institution were reviewed.

Methods: a total of 207 consecutive women who underwent SSM and IBR from 1992 to 2001 were included in the study. The patient records were analysed retrospectively and follow-up data were included.

Results: postoperative complications included native skin flap necrosis (10·1 per cent), haematoma (10·6 per cent), infection (3·4 per cent), anastomotic thrombosis (5·3 per cent) and hernia (2·6 per cent). During a mean follow-up of 70 months, 5·8 per cent of patients with stage 0-2 disease developed a locoregional recurrence, although none of these later had a systemic recurrence. The rate of locoregional recurrence was 31 per cent (five of 16) in women with stage 3 breast cancer.

Conclusion: SSM followed by IBR was both surgically and oncologically safe, especially for early-stage breast cancer.

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Published date: October 2007
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Local EPrints ID: 147205
URI: http://eprints.soton.ac.uk/id/eprint/147205
PURE UUID: e7d10d61-8990-4942-a2b1-6703087b2367

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Date deposited: 23 Apr 2010 11:46
Last modified: 14 Mar 2024 00:58

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Contributors

Author: R.I. Cutress
Author: A. Agrawal
Author: T.J. Meretoja
Author: S. Rasia
Author: K.A.J. von Smitten
Author: S.L. Asko-Seljavaara
Author: H.O.M. Kuokkanen
Author: T.A. Jahkola

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