Literature DB >> 26885163

Therapeutic effects of cytoprotective agent on breast reconstruction after breast cancer surgery.

Xinjia He1, Lihua Wang2, Wei Li1, Zhuang Yu1, Xingang Wang3.   

Abstract

Most patients will choose breast reconstruction after breast cancer surgery, while radiotherapy will damage skin and soft tissue so that will have adverse effect on reconstruction. In this study, we assume that the usage of Amifostine can reduce the incidence of complications after breast reconstruction so that provides more choices of reconstruction operation. Dividing SD rats into surgical placement expansion material group (include 15 ml normal saline) and simple operation group. Then further divide the former into non intervention group , radiation group and Radiation therapy combined with Amie amifostine treatment group. The decubation is 45 days after operation. Macroscopic evaluate the complications of skin and soft tissue by ImageJ. There is no obvious complications of skin and soft tissue for control group, radiotherapy alone group and radiotherapy with application of Amifostine group by macroscopic evaluation. The animals that are in expanded object group, damage probability of skin and soft tissue when use Amifostine is lower than that of radiotherapy alone group (30% vs. 69%, P=0.041). ImageJ shows the necrosis probability of skin and soft tissue when use Amifostine is obvious lower than radiotherapy alone group (6.96% vs. 12.94%, P=0.019). In conclusion, prevention and treatment of Amifostine can significantly reduce the complications of skin and soft tissue which is helpful to breast reconstruction after breast cancer surgery.

Entities:  

Keywords:  Amifostine; Mammary cancer; breast reconstruction; cytoprotective agent

Year:  2015        PMID: 26885163      PMCID: PMC4724009     

Source DB:  PubMed          Journal:  Int J Clin Exp Med        ISSN: 1940-5901


  16 in total

1.  Radiotherapy: effects on expanded skin.

Authors:  Cynthia M Goodman; Randy Miller; Charles W Patrick; Bei Zheng; Haluk Duman; Carol Johnston; Marc Mani; Doug Cromeens; William F Hanson; Gregory R D Evans
Journal:  Plast Reconstr Surg       Date:  2002-09-15       Impact factor: 4.730

2.  Immediate implant-based breast reconstruction following total skin-sparing mastectomy: defining the risk of preoperative and postoperative radiation therapy for surgical outcomes.

Authors:  Hani Sbitany; Frederick Wang; Anne W Peled; Rachel Lentz; Michael Alvarado; Cheryl A Ewing; Laura J Esserman; Barbara Fowble; Robert D Foster
Journal:  Plast Reconstr Surg       Date:  2014-09       Impact factor: 4.730

3.  A multidisciplinary protocol for planned skin-preserving delayed breast reconstruction for patients with locally advanced breast cancer requiring postmastectomy radiation therapy: 3-year follow-up.

Authors:  Steven J Kronowitz; Candace Lam; Welela Terefe; Kelly K Hunt; Henry M Kuerer; Vicente Valero; Samuel Lance; Geoffrey L Robb; Lei Feng; Thomas A Buchholz
Journal:  Plast Reconstr Surg       Date:  2011-06       Impact factor: 4.730

4.  Comparison of immediate and delayed free TRAM flap breast reconstruction in patients receiving postmastectomy radiation therapy.

Authors:  N V Tran; D W Chang; A Gupta; S S Kroll; G L Robb
Journal:  Plast Reconstr Surg       Date:  2001-07       Impact factor: 4.730

5.  Surgical management of cervical esophageal carcinoma with larynx preservation and reconstruction.

Authors:  Fenglin Sun; Xuezhong Li; Dapeng Lei; Tong Jin; Dayu Liu; Hui Zhao; Qiuan Yang; Guojun Li; Xinliang Pan
Journal:  Int J Clin Exp Med       Date:  2014-09-15

6.  Phase III randomized trial of amifostine as a radioprotector in head and neck cancer.

Authors:  D M Brizel; T H Wasserman; M Henke; V Strnad; V Rudat; A Monnier; F Eschwege; J Zhang; L Russell; W Oster; R Sauer
Journal:  J Clin Oncol       Date:  2000-10-01       Impact factor: 44.544

7.  Outcome of different oncoplastic surgical (OPs) techniques for centrally located breast cancer (CLBC).

Authors:  A Moustafa; I Fakhr
Journal:  J Egypt Natl Canc Inst       Date:  2014-11-15

8.  Complications and patient satisfaction following expander/implant breast reconstruction with and without radiotherapy.

Authors:  E A Krueger; E G Wilkins; M Strawderman; P Cederna; S Goldfarb; F A Vicini; L J Pierce
Journal:  Int J Radiat Oncol Biol Phys       Date:  2001-03-01       Impact factor: 7.038

9.  Irradiation after immediate tissue expander/implant breast reconstruction: outcomes, complications, aesthetic results, and satisfaction among 156 patients.

Authors:  Peter G Cordeiro; Andrea L Pusic; Joseph J Disa; Beryl McCormick; Kimberly VanZee
Journal:  Plast Reconstr Surg       Date:  2004-03       Impact factor: 4.730

Review 10.  Chemical radioprotection: a critical review of amifostine as a cytoprotector in radiotherapy.

Authors:  Christian Nicolaj Andreassen; Cai Grau; Jacob Christian Lindegaard
Journal:  Semin Radiat Oncol       Date:  2003-01       Impact factor: 5.934

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