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Title: Conservative treatment for breast cancer. Complications requiring reconstructive surgery

Abstract

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.

Authors:
; ;
Publication Date:
Research Org.:
Emory Univ. School of Medicine, Atlanta, GA
OSTI Identifier:
5489465
Resource Type:
Journal Article
Journal Name:
Ann. Surg.; (United States)
Additional Journal Information:
Journal Volume: 5
Country of Publication:
United States
Language:
English
Subject:
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; COMBINED THERAPY; IRIDIUM 192; NECROSIS; PATIENTS; RADIATION DOSES; RADIATION INJURIES; RADIATION SOURCE IMPLANTS; SURGERY; BETA DECAY RADIOISOTOPES; BETA-MINUS DECAY RADIOISOTOPES; BETA-PLUS DECAY RADIOISOTOPES; BIOLOGICAL EFFECTS; BODY; DAYS LIVING RADIOISOTOPES; DISEASES; DOSES; ELECTRON CAPTURE RADIOISOTOPES; GLANDS; HEAVY NUCLEI; IMPLANTS; INJURIES; INTERNAL CONVERSION RADIOISOTOPES; IRIDIUM ISOTOPES; ISOMERIC TRANSITION ISOTOPES; ISOTOPES; MEDICINE; MINUTES LIVING RADIOISOTOPES; NEOPLASMS; NUCLEAR MEDICINE; NUCLEI; ODD-ODD NUCLEI; ORGANS; PATHOLOGICAL CHANGES; RADIATION EFFECTS; RADIATION SOURCES; RADIOISOTOPES; RADIOLOGY; THERAPY; YEARS LIVING RADIOISOTOPES; 550603* - Medicine- External Radiation in Therapy- (1980-); 560151 - Radiation Effects on Animals- Man; 550600 - Medicine

Citation Formats

Bostwick, J. 3d., Paletta, C., and Hartrampf, C.R. Conservative treatment for breast cancer. Complications requiring reconstructive surgery. United States: N. p., 1986. Web. doi:10.1097/00000658-198605000-00006.
Bostwick, J. 3d., Paletta, C., & Hartrampf, C.R. Conservative treatment for breast cancer. Complications requiring reconstructive surgery. United States. doi:10.1097/00000658-198605000-00006.
Bostwick, J. 3d., Paletta, C., and Hartrampf, C.R. Thu . "Conservative treatment for breast cancer. Complications requiring reconstructive surgery". United States. doi:10.1097/00000658-198605000-00006.
@article{osti_5489465,
title = {Conservative treatment for breast cancer. Complications requiring reconstructive surgery},
author = {Bostwick, J. 3d. and Paletta, C. and Hartrampf, C.R.},
abstractNote = {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.},
doi = {10.1097/00000658-198605000-00006},
journal = {Ann. Surg.; (United States)},
number = ,
volume = 5,
place = {United States},
year = {1986},
month = {5}
}