Breast reconstruction after neoadjuvant radio chemotherapy: review and personal technique IDEAL concept REV-EJMR-D-15-00268.
Neoadjuvant radio chemotherapy and immediate reconstruction for breast cancer are still under debate. But there are recent abstracts and articles which show that neoadjuvant radio chemotherapy is feasible and could improve the clinical outcome of breast cancer patients. The aim of this review is to present the authors' techniques and approaches with regard to neoadjuvant radiation of breast cancer patients. It seems that the concept of immediate implant delayed autologous breast reconstruction could be a safe procedure that is at least equivalent to primary autologous reconstruction.
Department of Senology, Sana Kliniken Düsseldorf-Gerresheim, Graeulinger Straße 120, 40625, Düsseldorf, Germany.
Carolin
C
Nestle-Krämling
Department of Radiation Oncology, Heinrich Heine University, Moorenstrasse 5, 40225, Düsseldorf, Germany. boelke@med.uni-duesseldorf.de.
Edwin
E
Bölke
Department of Radiation Oncology, Heinrich Heine University, Moorenstrasse 5, 40225, Düsseldorf, Germany.
Wilfried
W
Budach
Department of Plastic and Reconstructive Surgery, Sana Kliniken Düsseldorf-Gerresheim, Graeulinger Straße 120, 40625, Düsseldorf, Germany.
Christoph
C
Andree
D001943:Breast Neoplasms / Q000601:surgery* / Q000628:therapy; D059186:Chemoradiotherapy, Adjuvant; D005260:Female; D006801:Humans; D016462:Mammaplasty; D020360:Neoadjuvant Therapy; D011183:Postoperative Complications
Autologous breast reconstruction; Breast implant; DIEP flap; IDEAL breast reconstruction; Immediate breast reconstruction; Neoadjuvant radio chemotherapy; TRAM flap