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Related Concept Videos

Skin Cancer01:30

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Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
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Related Experiment Video

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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Post-reconstruction dermatitis of the breast.

A C Rosen1, C Goh2, M E Lacouture3

  • 1Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, 1600 NW 10th Ave, RMSB 2023A, Miami, FL 33139, USA.

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|June 13, 2017
PubMed
Summary

A new skin condition, "post-reconstruction dermatitis of the breast," affects women after mastectomy reconstruction. Topical corticosteroids and antibiotics effectively manage this rash, often caused by surgical tension.

Keywords:
Breast cancerBreast reconstructionDermatitisRashTopical corticosteroids

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Area of Science:

  • Dermatology
  • Plastic Surgery
  • Oncology

Background:

  • Mastectomy with breast reconstruction is common, with potential complications like infection and implant issues.
  • Skin rashes are infrequently reported complications following mastectomy and breast reconstruction.
  • This study focuses on a specific type of rash occurring post-breast reconstruction.

Purpose of the Study:

  • To describe and characterize a previously undescribed skin condition occurring after breast reconstruction.
  • To identify potential causes and effective management strategies for post-reconstruction rashes.
  • To analyze clinical presentation, onset, and treatment outcomes for this dermatitis.

Main Methods:

  • Retrospective analysis of breast cancer patients with rashes post-mastectomy and reconstruction.
  • Studied reconstruction types, time to rash onset, clinical presentation, and symptoms.
  • Evaluated microbiologic studies, management interventions, and patient outcomes.

Main Results:

  • 21 patients developed rashes, averaging 25.7 months post-reconstruction.
  • Rashes presented as macules, papules, or scaly, erythematous patches/plaques.
  • Topical corticosteroids and antibiotics showed complete or partial response in all treated patients.

Conclusions:

  • Identified "post-reconstruction dermatitis of the breast" as a distinct entity.
  • Suggests surgical tension and post-surgical factors contribute to its development.
  • The condition is manageable with topical corticosteroids and antibiotics, restoring skin integrity and reducing infection.