title: [Analysis of breast reconstruction with a tissue expander and implant after ipsilateral breast tumor recurrence in patients undergoing breast-conserving surgery].
abstract: Mastectomy is recommended for ipsilateral breast tumor recurrence (IBTR) after breast-conserving surgery plus radiotherapy(breast-conserving treatment). However, the number of patients who receive radiation therapy such as breast- conserving treatment in the hope of breast reconstruction is increasing. Radiation therapy has a significant magnifying effect on the difficulties of breast reconstruction. In the study presented here, we compared the patients who underwent mastectomy+ breast reconstruction with a tissue expander and an implant after IBTR and breast-conserving treatment (irradiation group, n=5) with patients who underwent mastectomy+breast reconstruction with a tissue expander and an implant at the time of the first breast cancer operation (non-irradiation group, n=21). The parameters compared were background, complications, reconstruction success rate, and capsular contraction. A significant difference was not observed between the 2 groups. Complications after operation, specifically capsular contracture, are reported to be more frequent in the radiation group than in the non-irradiation group. However, with appropriate explanation of the risks, this surgery is an option for patients who strongly desire breast reconstruction.
authors.affiliation: Dept. of Surgery, Kansai Rosai Hospital, Japan.
authors.forename: Masatsugu
authors.initials: M
authors.lastname: Okishiro
authors.forename: Chiyomi
authors.initials: C
authors.lastname: Egawa
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Mukai
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kawashima
authors.forename: Michiko
authors.initials: M
authors.lastname: Hamanaka
authors.forename: Hisako
authors.initials: H
authors.lastname: Ono
authors.forename: Chieko
authors.initials: C
authors.lastname: Uchiyama
authors.forename: Takashi
authors.initials: T
authors.lastname: Kanemura
authors.forename: Atsushi
authors.initials: A
authors.lastname: Takeno
authors.forename: Shin
authors.initials: S
authors.lastname: Nakahira
authors.forename: Rei
authors.initials: R
authors.lastname: Suzuki
authors.forename: Ken
authors.initials: K
authors.lastname: Nakata
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Miki
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Takeda
authors.forename: Takeshi
authors.initials: T
authors.lastname: Kato
authors.forename: Yuji
authors.initials: Y
authors.lastname: Asada
authors.forename: Shigeyuki
authors.initials: S
authors.lastname: Tamura
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Takatsuka
mesh_terms: D000328:Adult; D000368:Aged; D018427:Breast Implants / Q000009:adverse effects; D001943:Breast Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000009:adverse effects; D015412:Mastectomy, Segmental; D008875:Middle Aged; D011878:Radiotherapy / Q000009:adverse effects; D012008:Recurrence; D015625:Tissue Expansion Devices / Q000009:adverse effects