Criteria for indication of breast reconstruction

Authors

  • Flávio Henrique Mendes Institute of Plastic Surgery Santa Cruz
  • Silvia Regina Ferreira Mendes Institute of Plastic Surgery Santa Cruz
  • José Marcos Mélega Institute of Plastic Surgery Santa Cruz

Keywords:

Breast cancer, mastectomy, breast reconstruction

Abstract

Breast reconstruction has been affirmed as part of the treatment for locally advanced breast tumor, and the development of new techniques has been providing better results and widening surgical indications. The objective of this work was to establish and discuss the different criteria that are related to this indication, mainly in what refers to the timing for the procedure. Oncological, clinical and psychological aspects are evaluated according to experience accumulated in recent years, with immediate and delayed reconstruction, carried out in the most diverse specialized centers. The authors conclude that, in reference to the safety and benefits of immediate reconstruction, it would be indicated for any patient who wants it and presents favorable clinical and psychological conditions, without having any absolut contraindication from the oncological point of view.

Downloads

Download data is not yet available.

References

ABRÃO, A. - Indicações e oportunidades para a reconstrução mamária. In: MONTORO et al. (ed): Alternativas diagnósticas e terapêuticas no câncer da mama. São Paulo, Bradepca, 293, 1987.

ANDERSEN, J.A. & PALLESEN, R.M. - Spread to the nipple and areola in carcinoma of the breast. Ann Surg 189: 367, 1979.

BACKER, R.R. - The management of breast cancer with immediate or delayed reconstruction. Advances in Breast Cancer, 51, 1991.

BAILEY, M.H. et al. - Immediate breast reconstruction: reducing the risks. Plast Reconstr Surg 83:845, 1989.

BARREAU-POUHAER, L. et al. - Immediate breast reconstruction: indications and techniques. Ann Chir Plast Esthet 34:97, 1989

BISHOP, C.C.R.; SINGH, S & NASH, A.G. - Mastectomy and breast reconstruction preserving the nipple. Ann R Coll Surg Engl 72:87, 1990

BOSTWICK, J - Breast recontruction following mastectomy. Cancer 39:40, 1989.

CORSTEN, R.V. - Patient satisfaction with breast reconstruction. Wis Med J 91:125, 1985.

DOWDEN, R.V. - Selection criteria for successful) immediate breast reconstrution. Plast Reconstr Surg 88:628, 1991

ELLIOT, L.F. & HARTRAMPF, C.R. - Breast reconstruction: progress in the past decade. World J Sung 14:763, 1990.

GEORGIADE, G.S. et al.- Long term clinical outcome of immediate reconstruction after mastectomy. Plast Reconstr Surg 76:415, 1985.

GILBOA, D. et al.- Emotional and psychosocial adjustment of women to breast reconstruction and detection of subgroups at risk for psychological morbidity. Ann Plast Surg 25:397, 1990.

JOHNSON, C.J. et al.- Oncological aspects of immediate breast reconstruction following a mastectomy for malignancy. Arch Surg 124:819, 1989.

KAUFMANN, M et al.- Local recurrence rate and survival times among patients with breast reconstruction. Geburtsh Frauenheilk 48:524, 1988.

KRISHNAN, L. et al.- Effect of silicone gel breast prosthesis on electron and photon dose distributions. Med Phis 10:93, 1983.

LAGIOS, M.D. et al.- A guide to the nipple involvement in breast cancer. Am J Surg 138:135, 1979.

LINDERMAN, R.B .- Current status of immediate breast reconstruction. Ind Med 84:186, 1991.

LOYER, M. et al.- Mamografic and CT findings after breast reconstruction with a rectus abdominis musculocutaneous flap. A R J 156:1159, 1991.

MATHESON, G; PSYCH, C. & DREVER, J.M.- Psychological preparation of the patient for breast reconstruction. Ann Plast Surg 24:238, 1990.

MÉLEGA, J.M. & MENDES, F.H.- Alternatives in breast reconstruction. In: Senology: The proceedings of the 7th international congress on senology - Greece, 1992.

McGINTEY, P.H.; POWELL, W.R. & BOSTWICK, J.- Dosimetry of a silicone breast prothesis. Radiology 135:223, 1980.

NOONE, R.B. et al.- Patient acceptance of immediate breast reconstruction following mastectomy. Plast Reconstr Surg 69:632, 1982.

PINOTTI, J.A. et al.- Mastectomia radical com reconstrução imediata. Gin Obst Bras 7:171, 1984.

PINOTTI, J.A. et al.- Mastectomia radical com reconstrução imediata. Uma nova abordagem terapêutica. In: Compêndio de Mastologia. São Paulo, Manole:328, 1991.

POMPEI, S.; BOTTI, C. & ANZA, M.- Reconstrução mamária imediata e critérios oncológicos: nossas atuais orientações. Rev Pau Med 108:21, 1990.

ROSE, J.H.- Carcinoma in a transplanted nipple. Arch Surg 115:1131, 1980.

SCHULLER, F.A. et al.- Silicone prosthesis and anti-tumor immunity. Surg 61:762, 1978.

VINTON, A.L.; TRAVERSO, L.W. & ZEHRING, R.D.- Immediate breast reconstruction following mastectomy is as safe as mastectomy alone. Arch Surg 125:1303, 1990.

WEBSTER, D.J.T. et al.- Immediate reconstruction of the breast after mastectomy. Is it safe? Cancer 53:1416, 1984.

WELLISH, D.H. et al.- Pscychosocial correlates of immediate versus delayed reconstruction of the breast. Plast Reconstr Surg 76:713, 1985.

Downloads

Published

1994-04-04

How to Cite

1.
Mendes FH, Mendes SRF, Mélega JM. Criteria for indication of breast reconstruction. Sao Paulo Med J [Internet]. 1994 Apr. 4 [cited 2025 Mar. 15];112(2):548-50. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/760

Issue

Section

Original Article