Breast conservative treatment in association with implant augmentation and intraoperative radiotherapy

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Abstract

After conservative treatment for small breast cancer the use of breast implants is controversial due to the negative effects of external conventional radiotherapy on soft tissues and the risk of capsular contracture. The literature reports several cases of unsuccessful breast augmentation due to implant displacement, a high percentage of capsular contracture and postoperative complications. We report the case of a 47-year-old woman with a small tumour between the inner quadrants of the left breast. She underwent quadrantectomy and sentinel node biopsy and intraoperative radiotherapy (IORT) of the target zone. Simultaneously, she received a bilateral augmentation mammaplasty. One year later we observed no evidence of local recurrence, no local fibrosis and radiodistrophy. Cosmetic results are excellent and the patient is very satisfied. The surgical technique and the possible advantage of such a procedure are also discussed.

Original languageEnglish
Pages (from-to)532-535
Number of pages4
JournalJournal of Plastic, Reconstructive and Aesthetic Surgery
Volume59
Issue number5
DOIs
Publication statusPublished - May 2006

Keywords

  • Breast
  • Conservative treatment
  • Implant
  • Intraoperative radiotherapy

ASJC Scopus subject areas

  • Surgery

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