Conservative treatment for breast cancer. Complications requiring reconstructive surgery

Journal Article · Thu May 01 00:00:00 EDT 1986 · Ann. Surg.; (United States)

DOI:https://doi.org/10.1097/00000658-198605000-00006· OSTI ID:5489465

Bostwick, J 3d; Paletta, C; Hartrampf, C R

Women who select conservative treatment for carcinoma of the breast (tumor excision followed by supervoltage radiation therapy) place a premium on breast preservation and aesthetics. When local control fails and they require a mastectomy, or when the aesthetic appearance is unacceptable, they may request breast reconstruction. The goal of this study is to evaluate a series of 10 patients who required reconstructive breast surgery after complications of conservative treatment. Patient classification: I. Breast or chest wall necrosis (3). II. Breast fibrosis and gross asymmetry (3). III. Local recurrence of breast cancer (5). IV. Positive margins after the initial lumpectomy (1). The mean age was 34 years. Radiation dosage average was 5252 rads with two patients receiving iridium-192 implant boosts. The reconstructive management was complex and usually required a major musculocutaneous flap because of the radiation effects.

• Research Organization: Emory Univ. School of Medicine, Atlanta, GA
• OSTI ID: 5489465
• Journal Information: Ann. Surg.; (United States), Vol. 5
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
CARCINOMAS
RADIOTHERAPY
MAMMARY GLANDS
SIDE EFFECTS
BIOLOGICAL RADIATION EFFECTS
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BIOLOGICAL EFFECTS
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GLANDS
HEAVY NUCLEI
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INTERNAL CONVERSION RADIOISOTOPES
IRIDIUM ISOTOPES
ISOMERIC TRANSITION ISOTOPES
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RADIATION EFFECTS
RADIATION SOURCES
RADIOISOTOPES
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THERAPY
YEARS LIVING RADIOISOTOPES
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