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Arch Plast Surg. Sep 2012; 39(5): 497–503.
Published online Sep 12, 2012. doi:  10.5999/aps.2012.39.5.497
PMCID: PMC3474407
Reliability of Reconstructed Breast Flap after Chemotherapy and Radiotherapy in Immediate Breast Reconstruction
Keun-Cheol Lee,corresponding author1 Tae-Heon Kim,1 Su-Seong Park,1 Min-Su Kim,1 Myung-Hoon Kim,1 Seok-Kwun Kim,1 Se-Heon Cho,2 Mi-Ri Lee,2 Jin-Hwa Lee,3 Hyung-Sik Lee,4 and Dae-Cheol Kim5
1Department of Plastic and Reconstructive Surgery, Dong-A University College of Medicine, Busan, Korea.
2Department of General Surgery, Dong-A University College of Medicine, Busan, Korea.
3Department of Radiology, Dong-A University College of Medicine, Busan, Korea.
4Department of Radiation Oncology, Dong-A University College of Medicine, Busan, Korea.
5Department of Pathology, Dong-A University College of Medicine, Busan, Korea.
corresponding authorCorresponding author.
Correspondence: Keun-Cheol Lee. Department of Plastic and Reconstructive Surgery, Dong-A University College of Medicine, 26 Daesingongwon-ro, Seo-gu, Busan 602-715, Korea. Tel: +82-51-240-2968, Fax: +82-51-243-5416, pokdungi/at/dau.ac.kr
Received April 1, 2012; Revised July 24, 2012; Accepted July 25, 2012.
Abstract
Background
Postmastectomy adjuvant therapy is used to prevent locoregional recurrence and improve overall breast cancer specific survival rates. However, it can adversely affect the cosmetic results of reconstruction. Therefore, the authors examined flap stability and patients' satisfaction with immediate breast reconstruction after adjuvant therapy.
Methods
We retrospectively reviewed the medical records of 204 patients from January 2006 to November 2011. For complication rates, the authors categorized the patients who underwent the immediate breast reconstruction into 4 groups: adjuvant chemotherapy and radiotherapy group, adjuvant chemotherapy only group, adjuvant radiotherapy only group, and the group that did not undergo adjuvant therapy. For comparison of patients' satisfaction, the study was performed with an additional 16 patients who had undergone delayed breast reconstruction.
Results
Regarding complication rates, the group that had undergone adjuvant therapy showed no significant difference compared to the group that did not undergo adjuvant therapy. In evaluating the patients' satisfaction, there was no significant difference.
Conclusions
Even after adjuvant therapy, immediate breast reconstruction showed good results with respect to flap stability and patients' satisfaction. Immediate breast reconstruction and adjuvant therapy is a safe and useful option for breast cancer patients.
Keywords: Drug therapy, Radiotherapy, Breast, Surgical flaps
Articles from Archives of Plastic Surgery are provided here courtesy of
Korean Society of Plastic and Reconstructive Surgeons