title: [Indications for reconstruction of the female breast after radical mastectomy].
abstract: After radical mastectomy in some cases reconstruction of the female breast can be established. The plastic can only be performed as a staged procedure (2 to 5 operations). The timing to start reconstruction has to be individualized with regard to he psychical situation of the woman concerned and the TNM grade of the tumour. In case of a T1N0M0-tumour the reconstruction can already be begun after one year, that means after finshing adjuvant anticancer-chemotherapy. Till today there exist no criteria that early reconstruction of the female breast by pedicded flap and silicone prosthesis will veil local recurrences or promote metastases.
mesh_terms: D000328:Adult; D001940:Breast / Q000601:surgery*; D001943:Breast Neoplasms / Q000601:surgery; D005260:Female; D006801:Humans; D008408:Mastectomy; D008722:Methods; D008875:Middle Aged; D009362:Neoplasm Metastasis; D009364:Neoplasm Recurrence, Local; D019736:Prostheses and Implants; D013524:Surgical Flaps; D013997:Time Factors
vernacular_title: Die Indikation zum Wiederaufbau der weiblichen Brust nach radikaler Mastektomie.