Back to Search
Start Over
Impact of Immediate Reconstruction on the Local Recurrence of Breast Cancer After Mastectomy
- Source :
- Annals of Plastic Surgery. 50:333-338
- Publication Year :
- 2003
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2003.
-
Abstract
- The incidence of local recurrence of breast cancer in women who underwent mastectomy with or without reconstruction was examined. All female mastectomy patients were followed-up in a 10-year retrospective review. Groups consisted of patients who had mastectomy, mastectomy with immediate reconstruction, or delayed reconstruction. Reconstruction was performed using prostheses, latissimus dorsi musculocutaneous flaps with or without implants, or transverse rectus abdominis musculocutaneous flaps. Charts were reviewed for local breast cancer recurrence. Statistical analysis was performed using Pearson's chi-square and analysis of variance. Of the 1,444 mastectomies performed from 1988 to 1997, 1,262 breasts (87%) were not reconstructed, 182 (13%) were reconstructed, 158 (87%) were immediately reconstructed, and 24 (13%) were reconstructed later. There were no recurrences in the delayed reconstruction group, two recurrences (1.3%) in the immediate reconstruction group, and nine recurrences (0.7%) in the mastectomy without reconstruction group (p = 0.746). Analyses of an additional time period from 1992 to 2000 yielded similar results. There is little relationship between local recurrence of breast cancer after mastectomy and reconstruction.
- Subjects :
- Adult
medicine.medical_specialty
Time Factors
Mammaplasty
medicine.medical_treatment
Breast Neoplasms
Premises
Breast cancer
Carcinoma
Humans
Medicine
Mastectomy
Aged
Retrospective Studies
Analysis of Variance
Chi-Square Distribution
business.industry
Retrospective cohort study
Middle Aged
medicine.disease
Surgery
Plastic surgery
Female
Neoplasm Recurrence, Local
business
Chi-squared distribution
Subjects
Details
- ISSN :
- 01487043
- Volume :
- 50
- Database :
- OpenAIRE
- Journal :
- Annals of Plastic Surgery
- Accession number :
- edsair.doi.dedup.....6ca858b0c91906c80af774d649509665