Breast Reconstruction and Post Mastectomy Radiotherapy: A Primer for Members of a Multidisciplinary Team
Background: Post-mastectomy radiation therapy (PMRT) is a key component in managing breast cancer with increased potential for locoregional recurrence. Breast reconstruction has evolved to include various techniques that can be categorized according to the type of reconstruction (implant-based versu...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Kaviani Breast Disease Institute
2021-04-01
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| Series: | Archives of Breast Cancer |
| Subjects: | |
| Online Access: | https://archbreastcancer.com/index.php/abc/article/view/369 |
| _version_ | 1818896535939710976 |
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| author | Aska Arnautovic Sigurast Olafsson Julia Wong Shailesh Agarwal Justin Broyles |
| author_facet | Aska Arnautovic Sigurast Olafsson Julia Wong Shailesh Agarwal Justin Broyles |
| author_sort | Aska Arnautovic |
| collection | DOAJ |
| description | Background: Post-mastectomy radiation therapy (PMRT) is a key component in managing breast cancer with increased potential for locoregional recurrence. Breast reconstruction has evolved to include various techniques that can be categorized according to the type of reconstruction (implant-based versus autologous reconstruction), and the timing of reconstruction (one versus two-step techniques).
Methods/Results: This review article aims to provide a digestible summary of PMRT in the context of breast reconstruction by summarizing salient existing literature with a focus on considerations of the plastic surgeon. The main findings summarized in this review include the technique and timing of breast reconstruction, how breast reconstruction can affect radiation delivery, and the type of reconstruction. Within implant-based reconstruction, existing data on the location of the implant in the context of PMRT and PMRT delivery to the tissue expander versus permanent implant are reviewed. Each consideration may alter the probability of successful reconstruction and patient satisfaction.
Conclusion: It is essential for the multidisciplinary breast cancer team to have knowledge of the various reconstructive options, and to understand the safety and comparative effectiveness of staged reconstruction in the setting of PMRT. Additionally, one must consider that reconstructive procedures may have implications on the timely administration of PMRT. This review serves as a reference for members of the oncologic care team when discussing reconstructive options with patients who will receive PMRT as part of their treatment plan. |
| first_indexed | 2024-12-19T19:01:50Z |
| format | Article |
| id | doaj.art-702bf11893d348508c50bd0eebff411c |
| institution | Directory Open Access Journal |
| issn | 2383-0433 |
| language | English |
| last_indexed | 2024-12-19T19:01:50Z |
| publishDate | 2021-04-01 |
| publisher | Kaviani Breast Disease Institute |
| record_format | Article |
| series | Archives of Breast Cancer |
| spelling | doaj.art-702bf11893d348508c50bd0eebff411c2022-12-21T20:09:32ZengKaviani Breast Disease InstituteArchives of Breast Cancer2383-04332021-04-0110.32768/abc.20218280-87Breast Reconstruction and Post Mastectomy Radiotherapy: A Primer for Members of a Multidisciplinary TeamAska Arnautovic0Sigurast Olafsson1Julia Wong2Shailesh Agarwal3Justin Broyles4Division of Plastic and Reconstructive Surgery, Brigham and Women's Hospital, Boston, MA, USADivision of Plastic and Reconstructive Surgery, Brigham and Women's Hospital, Boston, MA, USADepartment of Radiation Oncology, Dana Farber Cancer Center, Boston, MA, USADivision of Plastic and Reconstructive Surgery, Brigham and Women's Hospital, Boston, MA, USADivision of Plastic and Reconstructive Surgery, Brigham and Women's Hospital, Boston, MA, USABackground: Post-mastectomy radiation therapy (PMRT) is a key component in managing breast cancer with increased potential for locoregional recurrence. Breast reconstruction has evolved to include various techniques that can be categorized according to the type of reconstruction (implant-based versus autologous reconstruction), and the timing of reconstruction (one versus two-step techniques). Methods/Results: This review article aims to provide a digestible summary of PMRT in the context of breast reconstruction by summarizing salient existing literature with a focus on considerations of the plastic surgeon. The main findings summarized in this review include the technique and timing of breast reconstruction, how breast reconstruction can affect radiation delivery, and the type of reconstruction. Within implant-based reconstruction, existing data on the location of the implant in the context of PMRT and PMRT delivery to the tissue expander versus permanent implant are reviewed. Each consideration may alter the probability of successful reconstruction and patient satisfaction. Conclusion: It is essential for the multidisciplinary breast cancer team to have knowledge of the various reconstructive options, and to understand the safety and comparative effectiveness of staged reconstruction in the setting of PMRT. Additionally, one must consider that reconstructive procedures may have implications on the timely administration of PMRT. This review serves as a reference for members of the oncologic care team when discussing reconstructive options with patients who will receive PMRT as part of their treatment plan.https://archbreastcancer.com/index.php/abc/article/view/369Post-mastectomy radiation therapyPMRTBreast radiationBreast reconstructionRadiation changes |
| spellingShingle | Aska Arnautovic Sigurast Olafsson Julia Wong Shailesh Agarwal Justin Broyles Breast Reconstruction and Post Mastectomy Radiotherapy: A Primer for Members of a Multidisciplinary Team Archives of Breast Cancer Post-mastectomy radiation therapy PMRT Breast radiation Breast reconstruction Radiation changes |
| title | Breast Reconstruction and Post Mastectomy Radiotherapy: A Primer for Members of a Multidisciplinary Team |
| title_full | Breast Reconstruction and Post Mastectomy Radiotherapy: A Primer for Members of a Multidisciplinary Team |
| title_fullStr | Breast Reconstruction and Post Mastectomy Radiotherapy: A Primer for Members of a Multidisciplinary Team |
| title_full_unstemmed | Breast Reconstruction and Post Mastectomy Radiotherapy: A Primer for Members of a Multidisciplinary Team |
| title_short | Breast Reconstruction and Post Mastectomy Radiotherapy: A Primer for Members of a Multidisciplinary Team |
| title_sort | breast reconstruction and post mastectomy radiotherapy a primer for members of a multidisciplinary team |
| topic | Post-mastectomy radiation therapy PMRT Breast radiation Breast reconstruction Radiation changes |
| url | https://archbreastcancer.com/index.php/abc/article/view/369 |
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