AIMS: Since the introduction of skin-sparing mastectomy (SSM) in 1991 concerns on local control and recurrence rates have been discussed in the literature. The aim of this study is to examine in particular incidence of local recurrence in a 15-year consecutive series of breast cancer patients having undergone SSM and immediate breast reconstruction (IBR) at a single population-based institution. METHODS: One hundred and forty-six consecutive patients with either stage 1 or 2 breast cancer who underwent SSM followed by IBR from 1992 to 2006 were included in this study. A retrospective review of patient records was conducted. RESULTS: During a mean follow-up time of 51 months, four local recurrences of the native breast skin were accounted for. In addition, three regional lymph node recurrences and four systemic recurrences took place. All of the local and regional recurrences were handled by salvage surgery followed by adjuvant oncological therapies. During a mean follow-up of 35 months after the detection and treatment of the locoregional recurrences none of the patients developed new recurrences. CONCLUSIONS: Our present study concludes that SSM followed by IBR seems oncologically sound procedure for stage 1 and 2 breast cancer patients. In addition, local recurrences and regional lymph node recurrences are not always associated with systemic relapse.
AIMS: Since the introduction of skin-sparing mastectomy (SSM) in 1991 concerns on local control and recurrence rates have been discussed in the literature. The aim of this study is to examine in particular incidence of local recurrence in a 15-year consecutive series of breast cancerpatients having undergone SSM and immediate breast reconstruction (IBR) at a single population-based institution. METHODS: One hundred and forty-six consecutive patients with either stage 1 or 2 breast cancer who underwent SSM followed by IBR from 1992 to 2006 were included in this study. A retrospective review of patient records was conducted. RESULTS: During a mean follow-up time of 51 months, four local recurrences of the native breast skin were accounted for. In addition, three regional lymph node recurrences and four systemic recurrences took place. All of the local and regional recurrences were handled by salvage surgery followed by adjuvant oncological therapies. During a mean follow-up of 35 months after the detection and treatment of the locoregional recurrences none of the patients developed new recurrences. CONCLUSIONS: Our present study concludes that SSM followed by IBR seems oncologically sound procedure for stage 1 and 2 breast cancerpatients. In addition, local recurrences and regional lymph node recurrences are not always associated with systemic relapse.
Authors: Ming Lee; Erik Reinertsen; Evan McClure; Shuling Liu; Laura Kruper; Neil Tanna; J Brian Boyd; Jay W Granzow Journal: J Plast Reconstr Aesthet Surg Date: 2015-06-30 Impact factor: 2.740
Authors: Min Yi; Steven J Kronowitz; Funda Meric-Bernstam; Barry W Feig; W Fraser Symmans; Anthony Lucci; Merrick I Ross; Gildy V Babiera; Henry M Kuerer; Kelly K Hunt Journal: Cancer Date: 2010-10-13 Impact factor: 6.860
Authors: Brian P Kelley; Raouf Ahmed; Kelley M Kidwell; Jeffrey H Kozlow; Kevin C Chung; Adeyiza O Momoh Journal: Ann Surg Oncol Date: 2014-01-29 Impact factor: 5.344
Authors: Stefano Zurrida; Fabio Bassi; Paolo Arnone; Stefano Martella; Andres Del Castillo; Rafael Ribeiro Martini; M Eugenia Semenkiw; Pietro Caldarella Journal: Int J Surg Oncol Date: 2011-06-05
Authors: Zisun Kim; Sang Gue Kang; Jung Ho Roh; Ji Hye Park; Jihyoun Lee; SungYong Kim; Cheol Wan Lim; Min Hyuk Lee Journal: World J Surg Oncol Date: 2012-11-29 Impact factor: 2.754