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Immediate Breast Reconstruction in Pregnancy and Lactation

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Oncoplastic and Reconstructive Breast Surgery

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Abstract

It is estimated that 3% of all breast cancers may be diagnosed in pregnant women, and its incidence is expected to increase due to postpone childbearing. Management of this condition represents a challenge because, in contrast to other areas on breast oncology, there are no large randomized trials to guide surgical and clinical practice. Breast reconstruction can be performed following a specific model designed in our Breast Unit since 2008, where these patients are divided in three distinct groups: first trimester, immediate reconstruction in one-step surgery with breast implants and contralateral symmetry with breast reduction or mastopexy or two-step surgery with temporary expanders; second and third trimester, temporary expanders; and lactation, temporary expanders, autologous flaps, or breast-conserving therapy. If the lactation had ceased at least 3 months ago, it is possible to perform one-step surgery with definitive implant and contralateral breast symmetry. In this situation, an approach with a breast conservative surgery is possible too. With this reconstructive approach, it is possible to minimize the effects of mastectomy in this group of patients. It is a transversal model, which considers all aspects: oncologic, obstetric, and reconstructive.

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Author information

Authors and Affiliations

  1. Breast Unit, Our Lady of Grace Hospital and Positivo University Medical School, Curitiba, Brazil

    Cicero Urban

  2. Breast Unit, Our Lady of Grace Hospital, Curitiba, Paraná, Brazil

    Cléverton Spautz, Rubens Lima, Eduardo Schünemann Jr & Vanessa Amoroso

Authors
  1. Cicero Urban
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  2. Cléverton Spautz
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  3. Rubens Lima
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  4. Eduardo Schünemann Jr
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  5. Vanessa Amoroso
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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

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Urban, C., Spautz, C., Lima, R., Schünemann, E., Amoroso, V. (2019). Immediate Breast Reconstruction in Pregnancy and Lactation. 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_57

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  • DOI: https://doi.org/10.1007/978-3-319-62927-8_57

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-62925-4

  • Online ISBN: 978-3-319-62927-8

  • eBook Packages: MedicineMedicine (R0)

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