title: Patient age and breast resection weight affect immediate postmastectomy breast reconstruction in ductal carcinoma in situ.
abstract: OBJECTIVE
  Mastectomy is necessary for 40% of the ductal carcinoma in situ. If immediate breast reconstruction (IBR) is systematically proposed, 81% of the patients would choose immediate versus delayed breast reconstruction, but the actual IBR rate is only approximately 50% of them. Therefore, the aim of this study was to identify objective characteristics that distinguish the patients who actually underwent IBR from those who did not.
  
  
  METHODS
  Several criteria of 248 patients who have undergone mastectomy for ductal carcinoma were analyzed. Factors studied were age, body mass index, diabetes, tobacco use, and weight of the specimen of resection.
  
  
  RESULTS
  The rate of IBR was 43%. An increase in age and weight of the resection specimen, irrespective of the body mass index, was associated with a lower rate of IBR. Thus, an increase of 100 g in the weight of the breast induces a significant reduction of the IBR (33%).
  
  
  CONCLUSIONS
  In our series, older patients or patients with larger breasts (irrespective of the body mass index) were less likely to undergo IBR. In order to be in line with the patient's desire, the surgeons of our unit should broaden their indications of IBR. The lack of reconstruction of large breasts should certainly be compensated in part with the recent development of free tissue transfers in our unit.
  
  
  METHODS
  3.
authors.affiliation: Department of Plastic, Reconstructive and Aesthetic Surgery, 14 Rue Paul Gaffarel, Dijon, Côte d'Or, France; Department of Oncologic Surgery, Georges-François Leclerc Cancer Institute, 1 Rue du Professeur Marion, Dijon, Côte d'Or, France. Electronic address: burnier-pierre@hotmail.fr.
authors.forename: Pierre
authors.initials: P
authors.lastname: Burnier
authors.affiliation: Department of Oncologic Surgery, Georges-François Leclerc Cancer Institute, 1 Rue du Professeur Marion, Dijon, Côte d'Or, France; Dijon Univeristy, 7 Boulevard Jeanne d'Arc, Dijon, Côte d'Or, France.
authors.forename: Delphine
authors.initials: D
authors.lastname: Hudry
authors.affiliation: Department of Plastic, Reconstructive and Aesthetic Surgery, 14 Rue Paul Gaffarel, Dijon, Côte d'Or, France; Department of Oncologic Surgery, Georges-François Leclerc Cancer Institute, 1 Rue du Professeur Marion, Dijon, Côte d'Or, France; Dijon Univeristy, 7 Boulevard Jeanne d'Arc, Dijon, Côte d'Or, France.
authors.forename: Leslie-Ann
authors.initials: LA
authors.lastname: See
authors.affiliation: Department of Oncologic Surgery, Georges-François Leclerc Cancer Institute, 1 Rue du Professeur Marion, Dijon, Côte d'Or, France.
authors.forename: Alain
authors.initials: A
authors.lastname: Duvernay
authors.affiliation: Department of Oncologic Surgery, Georges-François Leclerc Cancer Institute, 1 Rue du Professeur Marion, Dijon, Côte d'Or, France.
authors.forename: Matthieu
authors.initials: M
authors.lastname: Roche
authors.affiliation: Department of Oncologic Surgery, Georges-François Leclerc Cancer Institute, 1 Rue du Professeur Marion, Dijon, Côte d'Or, France.
authors.forename: Catherine
authors.initials: C
authors.lastname: Loustalot
authors.affiliation: Department of Plastic, Reconstructive and Aesthetic Surgery, 14 Rue Paul Gaffarel, Dijon, Côte d'Or, France; Dijon Univeristy, 7 Boulevard Jeanne d'Arc, Dijon, Côte d'Or, France.
authors.forename: Narcisse
authors.initials: N
authors.lastname: Zwetyenga
authors.affiliation: Department of Oncologic Surgery, Georges-François Leclerc Cancer Institute, 1 Rue du Professeur Marion, Dijon, Côte d'Or, France; Dijon Univeristy, 7 Boulevard Jeanne d'Arc, Dijon, Côte d'Or, France.
authors.forename: Charles
authors.initials: C
authors.lastname: Coutant
mesh_terms: D000328:Adult; D017677:Age Distribution; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery*; D002285:Carcinoma, Intraductal, Noninfiltrating / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008408:Mastectomy; D008875:Middle Aged; D009929:Organ Size; D012189:Retrospective Studies; D055815:Young Adult
keywords: Breast cancer; Breast reconstruction; Ductal carcinoma in situ; Immediate breast reconstruction; Mastectomy