A review of the surgical management of breast cancer: plastic reconstructive techniques and timing implications.
The oncologic management of breast cancer has evolved over the past several decades from radical mastectomy to modern-day preservation of chest and breast structures. The increased rate of mastectomies over recent years made breast reconstruction an integral part of the breast cancer management. Plastic surgery now offers patients a wide variety of reconstruction options from primary closure of the skin flaps to performance of microvascular and autologous tissue transplantation. Well-coordinated partnerships between surgical oncologists, plastic surgeons, and patients address concerns of tumor control, cosmesis, and patients' wishes. The gamut of breast reconstruction options is reviewed, particularly noting state-of-the-art techniques, as well as the advantages and disadvantages of various timing modalities.
Rosson
Gedge D
GD
Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. gedge@jhmi.edu
Magarakis
Michael
M
Shridharani
Sachin M
SM
Stapleton
Sahael M
SM
Jacobs
Lisa K
LK
Manahan
Michele A
MA
Flores
Jaime I
JI
D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D013518:Surgery, Plastic / Q000379:methods*; D013524:Surgical Flaps; D013997:Time Factors