scholarly journals Breast Reconstruction Approach to Conservative Surgery

10.5772/28571 ◽  
2012 ◽  
Author(s):  
Egidio Riggio ◽  
Valentina Visintini
Keyword(s):  
Breast Reconstruction ◽  
Conservative Surgery

A sociodemographic and economic comparison of breast reconstruction, mastectomy, and conservative surgery

Surgery ◽  
1999 ◽  
Vol 125 (4) ◽  
pp. 441-447 ◽  
Author(s):  
Christopher E. Desch ◽  
Lynne T. Penberthy ◽  
Bruce E. Hillner ◽  
M.Kathleen McDonald ◽  
Thomas J. Smith ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Conservative Surgery ◽  
Economic Comparison

Body Image Perception and Quality of Life in Patients who Underwent Breast Surgery

2010 ◽  
Vol 76 (9) ◽  
pp. 1000-1005 ◽  
Author(s):  
Heriberto Medina-Franco ◽  
Miriam N. GarcÍA-Alvarez ◽  
Priscila Rojas-GarcÍA ◽  
Carolina Trabanino ◽  
MÓNica Drucker-Zertuche ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Body Image ◽  
Breast Reconstruction ◽  
Breast Surgery ◽  
Radical Mastectomy ◽  
Conservative Surgery ◽  
Lesion Group ◽  
Image Perception ◽  
Body Image Perception

Quality of Life (QoL) has become a standard measure in assessing the effectiveness of medical interventions. We compared the differences between QoL and body image scale (BIS) in a group of patients who underwent breast surgery, including lumpectomy or conservative surgery, modified radical mastectomy and radical mastectomy with breast reconstruction. We included patients who underwent breast surgery between August of 2005 and June of 2006 in two tertiary referral centers in Mexico City. Two self-administered questionnaires assessing body image perception, BIS and quality of life (SF-36), were assigned and a physician-conducted interview was done. We stratified patients by age, marital status, and scholar grade. The sample comprised 202 patients. The BIS results yielded: the group with a benign lesion demonstrated favorable body image perception when compared with the malignant lesion group. A confirmed diagnosis of malignancy hinders QoL in older and younger age groups. Conservative surgery and breast reconstruction improves QoL in younger patients without significance in the older group. The most significant variable that hinders the BIS and QoL is the cancer diagnosis. Impact of conservative surgery and breast reconstruction in body image perception and quality of life is influenced by patient age and educational level.

scholarly journals Timing between Breast Reconstruction and Oncologic Mastectomy—One Center Experience

Medicina ◽  
2020 ◽  
Vol 56 (2) ◽  
pp. 86
Author(s):  
Adelaida Avino ◽  
Laura Răducu ◽  
Lăcrămioara Aurelia Brînduşe ◽  
Cristian-Radu Jecan ◽  
Ioan Lascăr
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Breast Reconstruction ◽  
Conservative Surgery ◽  
Immediate Breast Reconstruction ◽  
Adjuvant Chemoradiotherapy ◽  
Median Period ◽  
Delayed Breast Reconstruction ◽  
Surgery Department

Background and objectives: Breast cancer is the most common cancer in women. The immunohistochemical profile, but also the stage of the tumor determines the therapeutic management, which varies from conservative surgery to mastectomy associated with chemotherapy, hormonal and biological therapy and/or radiotherapy. Mastectomy remains one of the most radical surgical intervention for women, having great consequences on quality of life, which can be improved by realizing immediate or delayed breast reconstruction. The objective of the study was to evaluate the period of time between the mastectomy and the breast reconstruction. Material and methods: We performed a retrospective study on 57 female patients admitted to the Plastic Surgery Department of the Clinical Emergency Hospital “Prof. Dr. Agrippa Ionescu”, Bucharest, Romania. All the patients underwent immediate or delayed breast reconstruction after mastectomy for confirmed breast cancer. Descriptive data analysis was realized with evaluation of type of breast reconstruction considering the staging of the tumor, the invaded lymph nodes, and the necessity of adjuvant chemoradiotherapy. Moreover, the median period between mastectomy and reconstruction was evaluated. Results: The immediate breast reconstruction was performed in patients with stage I, in patients with stage II, delayed reconstruction was performed after minimum six months, and the patients with stage III had the breast reconstructed with free flap (50%), 8–43 months post-mastectomy. Radiotherapy determines the type of breast reconstruction, in most of the cases the latissimus dorsi flap was used with implant (22.6%). Conclusions: Breast reconstruction is an important step in increasing the quality of life for women who underwent mastectomy after breast cancer. The proper timing for breast reconstruction must be settled by a team formed by the patient, the plastic surgeon, and the oncologist.

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