[Evaluation of clinicopathological findings and cosmetic outcome of 100 immediate postmastectomy breast reconstruction cases]

Orv Hetil. 2016 Nov;157(46):1830-1838. doi: 10.1556/650.2016.30569.
[Article in Hu]

Abstract

Introduction: Immediate breast reconstruction provides oncological safety, requires longer operation time. It does not influence the initiation of adjuvant therapy and radiological control, and results in favourable cosmetic outcome.

Aim: Assessing the Hungarian data of immediate postmastectomy breast reconstructions, and comparing them to international findings.

Method: Between May, 2011 and September, 2014 121 therapeutic and prophylactic, postmastectomy immediate breast reconstructions were performed in 100 patients. The clinico-pathological findings were assessed retrospectively, and surgical, oncological and cosmetic outcomes were evaluated statistically.

Results: The mean age of patients was 42.6 years, the follow up time was 29.4 months, and the duration of operation was 132 minutes. Skin-sparing mastectomy was performed most commonly (64%) with submuscular tissue expander placement (70%). Early postoperative complication was identified in 18 patients, and loco-regional recurrence in 1 patient. Most patients (89%) were satisfied with the cosmetic outcome. The average initiation time of adjuvant therapy was 4.8 weeks.

Conclusions: Immediate breast reconstruction is a safe and effective option in line with international findings. Orv. Hetil., 2016, 157(46), 1830-1838.

Keywords: breast cancer; breast reconstruction; emlőhelyreállítás; emlőrák; mastectomia; mastectomy.

MeSH terms

  • Adult
  • Breast Implants*
  • Breast Neoplasms / psychology
  • Breast Neoplasms / surgery*
  • Female
  • Follow-Up Studies
  • Humans
  • Mammaplasty / methods*
  • Middle Aged
  • Patient Satisfaction*
  • Surgical Flaps*
  • Tissue Expansion