Immediate Reconstruction Following Mastectomy For Breast Cancer: Long-term outcomes from a Single Institution
Association of Breast Surgery ePoster Library. McClymont L. 05/13/19; 257163; P120
Liusaidh McClymont
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Abstract
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P120
Topic: Oncoplastic and aesthetic surgery
Background: Reconstruction following
mastectomy for breast cancer may be immediate or delayed. Immediate
reconstruction offers superior aesthetic results and improved psychological
outcomes.There is concern that rates of
cancer recurrence may be higher in immediate breast reconstruction, when
compared to delayed reconstruction or mastectomy alone.AimsThe aim of this study was to
evaluate the oncological outcomes of patients who have undergone immediate
reconstruction following mastectomy for breast cancer. Methods This was a retrospective cohort
study of all patients undergoing mastectomy and immediate breast reconstruction
for breast cancer within our institution over a 10 year period (2007 - 2017). Results: 399 female patients had immediate
reconstruction at the time of mastectomy for breast cancer. Mean patient age at time
of surgery was 50 years (range 24-71 years). 330 patients had deep inferior
epigastric perforator (DIEP) flap reconstruction (82.7%), 23 patients had
transverse rectus abdominis myocutaneous (TRAM) flap reconstruction (5.8%) and
11 patients had other reconstruction (2.8%). Median follow-up was 67 months.
The overall local recurrence rate was 5.3% (n=21), 4.3% had locoregional
recurrence, (n=17) and 16.3% had distant metastatic disease (n=65). Overall and
breast cancer specific survival rates were 100% and 100% at one year, 97.2% and
97.5% at five years, and 80.5% and 82.9%
at 10 years respectively. Conclusions: This large retrospective cohort
demonstrates the feasibility and safety, in particular low local recurrence
rates, of immediate reconstruction in patients with breast cancer.
Topic: Oncoplastic and aesthetic surgery
Background: Reconstruction following
mastectomy for breast cancer may be immediate or delayed. Immediate
reconstruction offers superior aesthetic results and improved psychological
outcomes.There is concern that rates of
cancer recurrence may be higher in immediate breast reconstruction, when
compared to delayed reconstruction or mastectomy alone.AimsThe aim of this study was to
evaluate the oncological outcomes of patients who have undergone immediate
reconstruction following mastectomy for breast cancer. Methods This was a retrospective cohort
study of all patients undergoing mastectomy and immediate breast reconstruction
for breast cancer within our institution over a 10 year period (2007 - 2017). Results: 399 female patients had immediate
reconstruction at the time of mastectomy for breast cancer. Mean patient age at time
of surgery was 50 years (range 24-71 years). 330 patients had deep inferior
epigastric perforator (DIEP) flap reconstruction (82.7%), 23 patients had
transverse rectus abdominis myocutaneous (TRAM) flap reconstruction (5.8%) and
11 patients had other reconstruction (2.8%). Median follow-up was 67 months.
The overall local recurrence rate was 5.3% (n=21), 4.3% had locoregional
recurrence, (n=17) and 16.3% had distant metastatic disease (n=65). Overall and
breast cancer specific survival rates were 100% and 100% at one year, 97.2% and
97.5% at five years, and 80.5% and 82.9%
at 10 years respectively. Conclusions: This large retrospective cohort
demonstrates the feasibility and safety, in particular low local recurrence
rates, of immediate reconstruction in patients with breast cancer.
P120
Topic: Oncoplastic and aesthetic surgery
Background: Reconstruction following
mastectomy for breast cancer may be immediate or delayed. Immediate
reconstruction offers superior aesthetic results and improved psychological
outcomes.There is concern that rates of
cancer recurrence may be higher in immediate breast reconstruction, when
compared to delayed reconstruction or mastectomy alone.AimsThe aim of this study was to
evaluate the oncological outcomes of patients who have undergone immediate
reconstruction following mastectomy for breast cancer. Methods This was a retrospective cohort
study of all patients undergoing mastectomy and immediate breast reconstruction
for breast cancer within our institution over a 10 year period (2007 - 2017). Results: 399 female patients had immediate
reconstruction at the time of mastectomy for breast cancer. Mean patient age at time
of surgery was 50 years (range 24-71 years). 330 patients had deep inferior
epigastric perforator (DIEP) flap reconstruction (82.7%), 23 patients had
transverse rectus abdominis myocutaneous (TRAM) flap reconstruction (5.8%) and
11 patients had other reconstruction (2.8%). Median follow-up was 67 months.
The overall local recurrence rate was 5.3% (n=21), 4.3% had locoregional
recurrence, (n=17) and 16.3% had distant metastatic disease (n=65). Overall and
breast cancer specific survival rates were 100% and 100% at one year, 97.2% and
97.5% at five years, and 80.5% and 82.9%
at 10 years respectively. Conclusions: This large retrospective cohort
demonstrates the feasibility and safety, in particular low local recurrence
rates, of immediate reconstruction in patients with breast cancer.
Topic: Oncoplastic and aesthetic surgery
Background: Reconstruction following
mastectomy for breast cancer may be immediate or delayed. Immediate
reconstruction offers superior aesthetic results and improved psychological
outcomes.There is concern that rates of
cancer recurrence may be higher in immediate breast reconstruction, when
compared to delayed reconstruction or mastectomy alone.AimsThe aim of this study was to
evaluate the oncological outcomes of patients who have undergone immediate
reconstruction following mastectomy for breast cancer. Methods This was a retrospective cohort
study of all patients undergoing mastectomy and immediate breast reconstruction
for breast cancer within our institution over a 10 year period (2007 - 2017). Results: 399 female patients had immediate
reconstruction at the time of mastectomy for breast cancer. Mean patient age at time
of surgery was 50 years (range 24-71 years). 330 patients had deep inferior
epigastric perforator (DIEP) flap reconstruction (82.7%), 23 patients had
transverse rectus abdominis myocutaneous (TRAM) flap reconstruction (5.8%) and
11 patients had other reconstruction (2.8%). Median follow-up was 67 months.
The overall local recurrence rate was 5.3% (n=21), 4.3% had locoregional
recurrence, (n=17) and 16.3% had distant metastatic disease (n=65). Overall and
breast cancer specific survival rates were 100% and 100% at one year, 97.2% and
97.5% at five years, and 80.5% and 82.9%
at 10 years respectively. Conclusions: This large retrospective cohort
demonstrates the feasibility and safety, in particular low local recurrence
rates, of immediate reconstruction in patients with breast cancer.
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