Long-term outcomes of immediate autologous breast reconstruction after definite adjuvant therapy in intermediate and locally advanced breast cancer
- Authors
- Yoon, Won Sup; Rim, Chai Hong; Yang, Dae Sik; Lee, Jung Ae; Son, Gil Soo; Chang, Young Woo; Woo, Sang Uk; Kim, Deok-Woo; Dhong, Eun-Sang
- Issue Date
- 12월-2019
- Publisher
- AME PUBL CO
- Keywords
- Breast cancer; mastectomy; radiotherapy; reconstruction; survival
- Citation
- ANNALS OF TRANSLATIONAL MEDICINE, v.7, no.23
- Indexed
- SCIE
- Journal Title
- ANNALS OF TRANSLATIONAL MEDICINE
- Volume
- 7
- Number
- 23
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/61363
- DOI
- 10.21037/atm.2019.11.129
- ISSN
- 2305-5839
- Abstract
- Background: To analyze oncologic outcomes and reconstruction quality in locally advanced stage breast cancer after performing immediate autologous breast reconstruction (IABR). Methods: From 2007 to 2014, data of patients aged <= 70 years old with stage II-III breast cancer who received total mastectomy (TM) were extracted from medical records. Exclusion criteria were: previous contralateral breast cancer, follow-up loss before adjuvant therapy completion, and artificial reconstruction. Patients were divided into two groups: (I) TM alone, and (II) TM + IABR. Overall survival (OS) and locoregional recurrence free survival (LRRFS) were calculated. Times of minor revision, abnormal image findings in breast, and change of breast height were observed. Results: Sixty-one of 188 patients received IABR after TM. Stage IIIB-C was the most important prognostic factor for OS (P<0.001) and LRRFS (P<0.001). For stage II, five-year TM and TM + IABR OS rates were 96.8% and 100% (P=0.324), respectively. For stage IIIB-C, five-year TM and TM + IABR OS rates were 57.6% and 62.5% (P=0.544), respectively. For stage II, five-year TM and TM + IABR LRRFS were 98.1% and 95.7% (P=0.998), respectively. For stage IIIB-C, five-year TM and TM + IABR LRRFS were 70.8% and 62.5% (P=0.378), respectively. Two major complications were observed after IABR. Minor revisions, abnormal image findings, and change of breast height were common without showing significant relation with adjuvant radiotherapy or tumor stage. Conclusions: IABR showed feasible oncologic outcomes in 5-year follow-up. Adjuvant radiotherapy had little effect on quality of reconstruction. However, IABR in advanced stage should be cautiously applied considering expected survival and minor problems after IABR.
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