The impact of partial breast reconstruction on postoperative cancer surveillance
Association of Breast Surgery ePoster Library. Hu J. 05/15/17; 166188; P015
Ms. Jesse Hu
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Abstract
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Introduction:
The advent of oncoplastic surgery, in particular volume replacement with partial breast reconstruction, has extended the indications for breast conserving surgery (BCS) for women diagnosed with breast cancer. However, as this is a relatively new technique, there is paucity of literature reporting the effect of these procedures on the evaluation of subsequent surveillance mammograms.
Method:
This is a retrospective analysis of a prospectively maintained database on all patients who underwent partial breast reconstruction (PBR) with chest wall perforator flaps as part of BCS by a single surgeon. Mammograms done after surgery were reviewed and analysed for characteristic qualitative features and the need for additional imaging and/or biopsy.
Result:
Fifty-seven women diagnosed with breast cancer underwent volume replacement BCS over the study period (August 2011 – November 2015). All patients (n=53) who underwent fascio-cutaneous chest wall perforator flaps following wide local excision and had subsequent surveillance mammograms were included. Surveillance mammograms are routinely performed at one-year after surgery and annually thereafter. In total, 114 mammograms were reviewed, of which 5.2% (6/114) required additional imaging and all but 1 required biopsy (4.4%). Post-radiation changes including skin thickening & breast edema were seen in 15.7% (18/114), mainly in first couple of years which resolved by the third surveillance mammogram. Mammographic evidence of fat necrosis was seen in 3.5% (4/114) and 2 required biopsy.
Conclusion:
Surveillance mammography after partial breast reconstruction is accurate with low recall & biopsy rates.
The advent of oncoplastic surgery, in particular volume replacement with partial breast reconstruction, has extended the indications for breast conserving surgery (BCS) for women diagnosed with breast cancer. However, as this is a relatively new technique, there is paucity of literature reporting the effect of these procedures on the evaluation of subsequent surveillance mammograms.
Method:
This is a retrospective analysis of a prospectively maintained database on all patients who underwent partial breast reconstruction (PBR) with chest wall perforator flaps as part of BCS by a single surgeon. Mammograms done after surgery were reviewed and analysed for characteristic qualitative features and the need for additional imaging and/or biopsy.
Result:
Fifty-seven women diagnosed with breast cancer underwent volume replacement BCS over the study period (August 2011 – November 2015). All patients (n=53) who underwent fascio-cutaneous chest wall perforator flaps following wide local excision and had subsequent surveillance mammograms were included. Surveillance mammograms are routinely performed at one-year after surgery and annually thereafter. In total, 114 mammograms were reviewed, of which 5.2% (6/114) required additional imaging and all but 1 required biopsy (4.4%). Post-radiation changes including skin thickening & breast edema were seen in 15.7% (18/114), mainly in first couple of years which resolved by the third surveillance mammogram. Mammographic evidence of fat necrosis was seen in 3.5% (4/114) and 2 required biopsy.
Conclusion:
Surveillance mammography after partial breast reconstruction is accurate with low recall & biopsy rates.
Introduction:
The advent of oncoplastic surgery, in particular volume replacement with partial breast reconstruction, has extended the indications for breast conserving surgery (BCS) for women diagnosed with breast cancer. However, as this is a relatively new technique, there is paucity of literature reporting the effect of these procedures on the evaluation of subsequent surveillance mammograms.
Method:
This is a retrospective analysis of a prospectively maintained database on all patients who underwent partial breast reconstruction (PBR) with chest wall perforator flaps as part of BCS by a single surgeon. Mammograms done after surgery were reviewed and analysed for characteristic qualitative features and the need for additional imaging and/or biopsy.
Result:
Fifty-seven women diagnosed with breast cancer underwent volume replacement BCS over the study period (August 2011 – November 2015). All patients (n=53) who underwent fascio-cutaneous chest wall perforator flaps following wide local excision and had subsequent surveillance mammograms were included. Surveillance mammograms are routinely performed at one-year after surgery and annually thereafter. In total, 114 mammograms were reviewed, of which 5.2% (6/114) required additional imaging and all but 1 required biopsy (4.4%). Post-radiation changes including skin thickening & breast edema were seen in 15.7% (18/114), mainly in first couple of years which resolved by the third surveillance mammogram. Mammographic evidence of fat necrosis was seen in 3.5% (4/114) and 2 required biopsy.
Conclusion:
Surveillance mammography after partial breast reconstruction is accurate with low recall & biopsy rates.
The advent of oncoplastic surgery, in particular volume replacement with partial breast reconstruction, has extended the indications for breast conserving surgery (BCS) for women diagnosed with breast cancer. However, as this is a relatively new technique, there is paucity of literature reporting the effect of these procedures on the evaluation of subsequent surveillance mammograms.
Method:
This is a retrospective analysis of a prospectively maintained database on all patients who underwent partial breast reconstruction (PBR) with chest wall perforator flaps as part of BCS by a single surgeon. Mammograms done after surgery were reviewed and analysed for characteristic qualitative features and the need for additional imaging and/or biopsy.
Result:
Fifty-seven women diagnosed with breast cancer underwent volume replacement BCS over the study period (August 2011 – November 2015). All patients (n=53) who underwent fascio-cutaneous chest wall perforator flaps following wide local excision and had subsequent surveillance mammograms were included. Surveillance mammograms are routinely performed at one-year after surgery and annually thereafter. In total, 114 mammograms were reviewed, of which 5.2% (6/114) required additional imaging and all but 1 required biopsy (4.4%). Post-radiation changes including skin thickening & breast edema were seen in 15.7% (18/114), mainly in first couple of years which resolved by the third surveillance mammogram. Mammographic evidence of fat necrosis was seen in 3.5% (4/114) and 2 required biopsy.
Conclusion:
Surveillance mammography after partial breast reconstruction is accurate with low recall & biopsy rates.
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