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Updated: Oct 21, 2025

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
A nanoparticle-containing polycaprolactone implant for combating post-resection breast cancer recurrence
Yu Gao1, Jiahui Wang1, Hao Han2
1State Key Laboratory for Organic Electronics and Information Displays & Jiangsu Key Laboratory for Biosensors, Institute of Advanced Materials (IAM), Jiangsu National Synergistic Innovation Center for Advanced Materials (SICAM), Nanjing University of Posts and Telecommunications, 9 Wenyuan Road, Nanjing 210023, China. lxweng@njupt.edu.cn.
This study introduces a novel implantable scaffold for localized chemotherapy after breast cancer surgery. The scaffold delivers drugs effectively, inhibits tumor recurrence, and supports tissue regeneration, potentially reducing the need for a second surgery.
Area of Science:
- Biomaterials Science
- Oncology
- Drug Delivery Systems
Background:
- Breast cancer recurrence and metastasis post-surgery are major causes of mortality.
- Systemic chemotherapy faces challenges with low tumor delivery efficiency and significant side effects.
- Current localized chemotherapy requires a second surgery for breast tissue reconstruction.
Purpose of the Study:
- To develop an implantable polymeric scaffold for localized chemotherapy delivery post-breast cancer resection.
- To simultaneously provide mechanical support and a regenerative niche for breast tissue reconstruction.
- To evaluate the efficacy and biocompatibility of the drug-loaded scaffold in a preclinical model.
Main Methods:
- Doxorubicin was encapsulated in mesoporous silica nanoparticles (MSN) and incorporated into polycaprolactone (PCL) scaffolds (DMSN@PCL).
- Sustained drug release was assessed in vivo following implantation in mice.
- The efficacy of DMSN@PCL scaffolds in inhibiting local tumor recurrence was evaluated in a post-surgical mouse model with xenograft MDA-MB-231 tumors.
- Biocompatibility was assessed during the treatment period.
Main Results:
- The DMSN@PCL scaffolds demonstrated a sustained release of doxorubicin for up to 9 weeks post-implantation.
- Significant inhibition of local breast tumor recurrence was observed within 4 weeks in the post-surgical mouse model.
- The DMSN@PCL scaffolds exhibited good biocompatibility in the treated mice.
Conclusions:
- The developed implantable scaffold offers a promising strategy for localized adjuvant chemotherapy following breast cancer surgery.
- This approach effectively inhibits post-resection tumor recurrence while supporting tissue regeneration.
- The strategy holds potential for clinical application to improve outcomes for breast cancer patients.
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