Advertisement

Breast Cancer After Aesthetic Surgery

  • BBSG – Brazilian Breast Study Group
Chapter

Abstract

Breast aesthetic surgery is one of the most indicated and widely accepted procedures throughout the Western world. According to data from the International Society of Plastic Surgery and Aesthetics (ISAPS), in 2015 approximately 1,490,000 augmentation mammoplasties were performed in the world. In Brazil, approximately 166,000 breast augmentation mammoplasties were performed and about 80,000 lifting and reduction breast surgeries in the same year. The importance of those numbers is that according to INCA, 57,960 new cases of breast cancer occurred in 2016 and about 10% of these women had undergone breast aesthetic surgery. Therefore, it consists on a special situation, since few relevant data is available regarding this increasingly frequent condition in the population.

Keywords

Breast cancer Previous breast aesthetic surgery Sentinel node biopsy Breast implants Anaplastic large cell lymphoma 

Recommended Readings

  1. 1.
    Geunther JM, Tokita KM, Giuliano AE. Breast-conserving surgery and radiation after augmentation mammoplasty. Cancer. 1994;73:2613. Prospective cohort of 20 patients with breast implants submitted to quadrantectomy and adjuvant radiotherapy. There was no technical difficulty in performing radiotherapy and in 85% of the patients, the final aesthetical result was considered satisfactory or excellent. After 4 years, no local recurrences were detected. CrossRefGoogle Scholar
  2. 2.
    Handel N, Silverstein MJ. Breast cancer diagnosis and prognosis in augmented women. Plast Reconstr Surg. 2006;118(3):587–93. A prospective cohort study in which 4082 cases of breast cancer were analyzed in women between 1981 and 2004. Among which 129 presented breast cancer after breast implant. In the first publication, the implant group demonstrated worse oncologic prognosis at diagnosis. In this update, the prognosis was not significant different between the two groups, and there was no difference at baseline stages. In the implant group, more diagnoses were performed with the self-examination technique than in the control group, suggesting that the implant would facilitate the diagnosis of breast cancer. CrossRefGoogle Scholar
  3. 3.
    Kaartinen I, Sunela K, Alanko J, et al. Breast implant-associated anaplastic large cell lymphoma – from diagnosis to treatment. Eur J Surg Oncol. 2017. ejso.2017.05.021 [Epub ahead of print]. Literature review regarding Anaplastic Lymphoma and mammary prosthesis. Rare disease, most often related to an excellent prognosis, but with increasing incidence. Google Scholar
  4. 4.
    Muir TM, Tresham J, Fritschi L, Wylie E. Screening for breast cancer post reduction mammoplasty. Clin Radiol. 2010;65(3):198–205. A cross-sectional cohort study encompassing over 244,000 women undergoing mammographic screening in Australia, of which 4734 had previous mammoplasty. It was significant lower the incidence of breast cancer in the group with previous mammoplasty (RR: 0.71). There was no difference in the number of recalls for further mammographic examination between the two groups. Conclusion: Changes in the mammary parenchyma after augmentation mammoplasty do not interfere with mammographic screening. CrossRefGoogle Scholar
  5. 5.
    Rodriguez Fernandez J, Martella S, Trifirò G, Caliskan M, Chifu C, Brenelli F, Botteri E, Rossetto F, Rotmensz N, Rietjens M, Veronesi P. Sentinel node biopsy in patients with previous breast aesthetic surgery. Ann Surg Oncol. 2009;16(4):989–92. A prospective cohort study encompassing 70 patients with prior aesthetic breast surgery (breast reduction and breast implants), diagnosed with breast cancer and submitted to sentinel lymph node biopsy. The SLNB identification index was 100%. SLN was positive in 32% of the cases and in an average follow-up of 19 months, no axillary recurrence was observed. CrossRefGoogle Scholar
  6. 6.
    Veronesi P, De Lorenzi F, Loschi P, Rietjens M, Veronesi U. Current trends in the oncologic and surgical managements of breast cancer in women with implants: incidence, diagnosis, and treatment. Aesthet Plast Surg. 2016;40(2):256–65. Breast cancer review encompassing patients with implants, discussing diagnostic, treatment and prognosis aspects. Results of the IORT study in a patient with prosthesis and conservative surgery, demonstrating that this technique decreases capsular contracture and asymmetry. CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • BBSG – Brazilian Breast Study Group
    • 1
  1. 1.BBSGSao PauloBrazil

Personalised recommendations