Skip to main content
SpringerLink
Log in

Delayed Reconstruction After Breast-Conserving Surgery

  • Chapter
  • First Online:
Book cover Oncoplastic and Reconstructive Breast Surgery

  • 1398 Accesses

Abstract

Oncoplastic surgery was incorporated into the primary treatment of breast cancer to prevent the damaging consequences of this treatment and produce a significant benefit both aesthetically and psychologically without altering the oncological safety. In the conservative treatment, although there are many reconstructive techniques to prevent sequelae, for different reasons there are a number of patients with unsatisfactory results magnified by the effects of radiotherapy. Traditionally, aggressive techniques with high rates of complication (autologous tissue, prosthetic) and unstable results were used for the reconstruction of these defects; however, in recent years the introduction of lipotransference opened up a promising new stage, achieving results in many cases that are highly satisfactory, stable, and with lower morbidity.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Audretsch W et al (1994) Oncoplastic surgery: “target” volume reduction, (BCT mastopexy) lumpectomy reconstruction (BCT reconstruction) and flap supported operability in breast cancer. In: Proceedings of the second European congress on senology, Vienna, Austria. Monduzzi, Bologna, pp 139–157

    Google Scholar 

  2. Silverstein M (1993) Cosmetic quadrantectomy. Paper presented at the annual Miami breast cancer conference, Miami

    Google Scholar 

  3. Clough K et al (1995) Conservative treatment of the breast cancer by mammaplasty and irradiation: a new approach to lower quadrant tumors. Plast Reconstr Surg 96:363–370

    Article  CAS  Google Scholar 

  4. Grisotti A (1994) Immediate reconstruction after partial mastectomy. Oper Tech Plast Reconstr Surg 1:1–12

    Article  Google Scholar 

  5. Audretsch W et al (1998) Tumor-specific immediate reconstruction (TSIR) in breast cancer patients. Perspect Plast Surg 11:71–106

    Google Scholar 

  6. Veronessi U et al (1995) Breast conservation is a safe method in patients with small cancer of the breast. Long term results of three randomized trials on 1973 patients. Eur J Cancer 31A(10):1574–1579

    Article  Google Scholar 

  7. Fisher B et al (1995) Reanalysis and results after 12 years of follow-up in a randomized clinical trial comparing total mastectomy with lumpectomy with or without irradiation in the 541 treatment of breast cancer. N Engl J Med 333:1456–1461

    Article  CAS  Google Scholar 

  8. Moody A et al (1994) The influence of breast size on late radiation effects and association with radiotherapy dose inhomogeneity. Radiother Oncol 33:106–112 545

    Article  CAS  Google Scholar 

  9. Gray J et al (1991) Primary breast irradiation in large breasted or heavy women: analysis of cosmetics outcome. Int J Radiat Oncol Biol Phys 21:347–354

    Article  CAS  Google Scholar 

  10. Clough K et al (1998) Cosmetic sequelae after conservative treatment for breast cancer: classification and results of surgical correction. Ann Plast Surg 41:471–481

    Article  CAS  Google Scholar 

  11. Biazus JV, Falcão CC, Parizotto AC et al (2015) Immediate reconstruction with autologous fat transfer following breast-conserving surgery. Breast J 21(3):268–275

    Article  Google Scholar 

  12. Cardoso M et al (2007) Factors determining esthetic outcome after breast cancer conservative treatment. Breast J 13(2):140–146

    Article  Google Scholar 

  13. Bartelink H et al (2001) Recurrence rates after treatment of breast cancer with standard radiotherapy with or without additional radiation. N Engl J Med 345(19):1378–1387

    Article  CAS  Google Scholar 

  14. Markiewicz D et al (1996) The effects of sequence and type of chemotherapy and radiation therapy on cosmesis and complications after breast conservation therapy. Int J Radiat Oncol Biol Phys 35(4):661–668

    Article  CAS  Google Scholar 

  15. Hoeller U (2003) Cosmesis from the patient’s and the doctor’s view. Int J Radiat Oncol Biol Phys 57(2):345–354

    Article  Google Scholar 

  16. Moyer HR et al (2008) Three-dimensional digital evaluation of breast symmetry after breast conservation therapy. J Am Coll Surg 207(2):227–232 565

    Article  Google Scholar 

  17. Fitzal F et al (2007) The use of a breast symmetry index for objective evaluation of breast cosmesis. Breast 16(4):429–435

    Article  CAS  Google Scholar 

  18. Berrino P (1987) Postquadrantectomy breast deformities: classification and techniques of surgical correction. Plast Reconstr Surg 79(4):567–572

    Article  CAS  Google Scholar 

  19. Fitoussi A et al (2010) Management of the post-breast-conserving therapy defect: extended follow-up and reclassification. Plast Reconstr Surg 125(3):783–791

    Article  CAS  Google Scholar 

  20. Winters Z et al (2010) A systematic review of the clinical evidence to guide treatment recommendations in breast reconstruction based on patient-reported outcome measures and health-related quality of life. Ann Surg 252:929–942

    Article  Google Scholar 

  21. Kronowitz S et al (2008) A management algorithm and practical oncoplastic surgical techniques for repairing partial mastectomy defects. Plast Reconstr Surg 122:1631 584

    Google Scholar 

  22. ASPRS Ad-Hoc Committee on New Procedures Report on autologous fat transplantation. Plast Surg Nurs 7:140

    Google Scholar 

  23. Rigotti G et al (2007) Clinical treatment of radiotherapy tissue damage by lipoaspirate transplant: a healing process mediated by adipose-derived adult stem cells. Plast Reconstr Surg 119(5):1409–1422; discussion 1423–1424

    Article  CAS  Google Scholar 

  24. Gutowski K et al (2009) Current applications and safety of autologous fat grafts: a report of the ASPS Fat Graft Task Force. Plast Reconstr Surg 124:272

    Article  CAS  Google Scholar 

  25. Khouri R (2000) Nonsurgical breast enlargement using an external soft-tissue expansion system. Plast Reconstr Surg 105:2500–2512

    Article  CAS  Google Scholar 

  26. Delay E (1998) Autologous latissimus breast reconstruction: a 3 year clinical experience with 100 patients. Plast Reconstr Surg 102:1461–1478

    Article  CAS  Google Scholar 

  27. Moran S et al (2000) Immediate free TRAM reconstruction in lumpectomy and radiation failure patients. Plast Reconstr Surg 106(7):1527–1531

    Article  CAS  Google Scholar 

  28. González E et al (2006) Utilidad y sistematización de las técnicas de cirugía oncoplástica en la prevención y corrección de las secuelas del tratamiento conservador. Consideraciones oncológicas y cosméticas. Rev Arg Mastol 25(86):49–69

    Google Scholar 

  29. Clough K et al (2003) Oncoplastic techniques allow extensive resections for breast-conserving therapy of breast carcinomas. Ann Surg 237(1):26–34

    Article  Google Scholar 

  30. González E et al (2010) Evaluación clínica de la corrección de los defectos post tratamiento conservador y mastectomía con radioterapia con o sin reconstrucción mamaria con autotransferencia de tejido adiposo sin manipulación de stem cells. Revista XXVI Jornadas Nacionales de Oncología del Instituto “Ángel H. Roffo”, 31 de agosto al 3 de septiembre de 2010

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division Mastology Department, Instituto de Oncología “Angel H. Roffo”, Universidad de Buenos Aires, Ciudad Autónoma de Buenos Aires (CABA), Buenos Aires, Argentina

    Eduardo G. González

Authors
  1. Eduardo G. González
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Our Lady of Grace Hospital, Positivo University, Curitiba, Brazil

    Cicero Urban

  2. Plastic and Reconstructive Division, European Institute of Oncology, Milan, Italy

    Mario Rietjens

  3. Memorial Sloan Kettering Cancer Center, New York, USA

    Mahmoud El-Tamer

  4. Memorial Sloan Kettering Cancer Center, New York, USA

    Virgilio S. Sacchini

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

González, E.G. (2019). Delayed Reconstruction After Breast-Conserving Surgery. In: Urban, C., Rietjens, M., El-Tamer, M., Sacchini, V.S. (eds) Oncoplastic and Reconstructive Breast Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-62927-8_34

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-62927-8_34

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-62925-4

  • Online ISBN: 978-3-319-62927-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation