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Purpose of Review: Through an overview of invasive lobular carcinoma (ILC), this review highlights the unique complexities the diagnosis and treatment of this disease represents, followed by psychological considerations for both patients and providers. Perspectives from members of the multidisciplinary treatment team are included., Recent Findings: A cancer diagnosis can be difficult for patients and their families and can also have a significant impact on the treatment team. Prior work related specifically to ILC is limited. Each member of the multidisciplinary team faces unique challenges when treating patients with ILC. This can manifest in a variety of ways and recognizing the complexities specific to this diagnosis can be helpful when considering strategies to mitigate provider burn out and secondary injury. ILC is a variant of breast cancer with a distinct set of diagnostic and treatment challenges. Recognition of patient and provider challenges specific to this diagnosis is important for future research considerations and stress mitigation management strategies., Competing Interests: Declarations. Competing Interests: The authors declare no competing interests., (© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

Background: Breast conserving surgery (BCS) with partial breast reconstruction (PBR) results in less morbidity, better cosmetic outcomes, and improved patient satisfaction compared to mastectomy. Perforator flap reconstruction can attenuate defects prone to breast deformity after BCS. Usually, postoperative drains and inpatient admission are part of this treatment. The main objective of this study is to report on postoperative complications and patient satisfaction after drainless perforator flap reconstruction by a dedicated breast surgeon., Methods: In a retrospective case series, 42 patients were included. All patients underwent BCS with drainless perforator flap reconstruction, planned and performed by a single breast surgeon. Outcomes were complication incidence and patient satisfaction reported in the Breast-Q Breast Conserving Therapy (BCT) module., Results: In the study cohort, the median age was 59.5 (49.8-71.3) years. Tumour types were ductal carcinoma in situ (DCIS, four patients, 9.5%), invasive no special type (NST, 22 patients, 52.4%), invasive lobular (12 patients, 28.6%), and other invasive cancers (4 patients, 9.5%). Complication incidence was seven of 42 patients (16.7%), including hematoma, seroma, wound dehiscence, fat necrosis, and lymphedema, all Clavien Dindo grade 0-1, without readmission or reoperation. Reported Breast-Q scores (median of 17 months after surgery) were 87/100 for psychosocial well-being, 82/100 for breast satisfaction, and 71/100 for physical well-being. Outpatient treatment was successful in 38 patients (90.5%), and 13 patients (31.0%) had an unplanned visit to the outpatient clinic., Conclusion: Drainless perforator flap reconstruction performed by the breast surgeon results in high patient satisfaction and limited complications, both in number and severity. The use of drains and hospital stays after perforator flap reconstruction must be discouraged., Competing Interests: Declarations. Ethics approval and consent to participate: The study was approved by the local ethical committee of CWZ and complied with ethical and clinical regulations. Due to the study’s retrospective nature, informed consent was not required. Consent for publication: Consent for publication was obtained and made available from the corresponding author upon reasonable request. Competing interests: The authors declare no competing interests., (© 2024. The Author(s).)