title: Recurrences after immediate reconstruction in breast cancer.
abstract: OBJECTIVE
  To determine the incidence of and reasons for recurrences after immediate breast reconstruction in breast cancer patients.
  
  
  METHODS
  The data of 79 patients undergoing immediate breast reconstruction between 1998 and 2001 in Kuopio University Hospital were re-examined from both the local cancer register and the patient charts at the end of year 2003.
  
  
  RESULTS
  There were five local recurrences (6.3%), one regional recurrence (1.2%), and three cases (3.8%) presented bone and/or visceral metastases. All recurrences except one (primary tumor noninvasive) appeared within the first two years after primary therapy. Young age and increasing size of the tumour were risk factors for distant or logoregional metastases.
  
  
  CONCLUSIONS
  Immediate breast reconstruction is a safe procedure in breast cancer patients, but a multidisciplinary team is needed for careful patient selection.
authors.affiliation: Department of Plastic Surgery, Kuopio University Hospital, Kuopio, Finland. paula k.mustonen@kuh.fi
authors.forename: P
authors.initials: P
authors.lastname: Mustonen
authors.forename: V
authors.initials: V
authors.lastname: Kataja
authors.forename: M
authors.initials: M
authors.lastname: Berg
authors.forename: T
authors.initials: T
authors.lastname: Pietiläinen
authors.forename: A
authors.initials: A
authors.lastname: Papp
mesh_terms: D000328:Adult; D001932:Brain Neoplasms / Q000556:secondary; D001940:Breast / Q000473:pathology / Q000601:surgery*; D001943:Breast Neoplasms / Q000453:epidemiology / Q000473:pathology / Q000601:surgery*; D018572:Disease-Free Survival; D005260:Female; D005387:Finland / Q000453:epidemiology; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D016462:Mammaplasty; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D016896:Treatment Outcome; D014781:Viscera / Q000473:pathology