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Breast-conserving surgery and radiation after augmentation mammoplasty
J M Guenther1, K M Tokita, A E Giuliano
1Joyce Eisenberg Keefer Breast Center, John Wayne Cancer Institute at Saint John's Hospital and Health Center, Santa Monica, California 90404.
Cancer
|May 15, 1994
Summary
Breast cancer treatment after augmentation mammoplasty using breast-conserving therapy (BCT) showed no local recurrences. This approach is a cosmetically acceptable option for patients with breast implants.
Area of Science:
- Oncology
- Plastic Surgery
- Radiotherapy
Background:
- Breast-conserving therapy (BCT) offers survival and recurrence rates comparable to mastectomy.
- Postoperative radiation in BCT may cause capsular contractures and poor cosmesis in patients with breast implants.
Purpose of the Study:
- To evaluate the oncologic and cosmetic outcomes of BCT for breast cancer in patients with a history of augmentation mammoplasty.
Main Methods:
- Followed 20 women with breast cancer post-augmentation mammoplasty.
- Tumors were excised with wide margins; axillary node dissection was performed.
- Patients received systemic chemotherapy and whole breast radiation with a tumor site boost.
Main Results:
- No local recurrences observed at a median follow-up of 3.8 years.
- Two patients developed distant metastases.
- 85% of patients achieved good or excellent cosmetic results.
Conclusions:
- Breast-conserving therapy is a viable and cosmetically acceptable treatment for breast cancer in patients with augmentation mammoplasty.