Breast conservative treatment in association with implant augmentation and intraoperative radiotherapy

Research output: Contribution to journalArticle

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

Fingerprint

Contracture
Breast
Radiotherapy
Breast Neoplasms
Breast Implants
Mammaplasty
Cosmetics
Fibrosis
Biopsy
Recurrence
Neoplasms
Conservative Treatment
cyhalothrin

Keywords

  • Breast
  • Conservative treatment
  • Implant
  • Intraoperative radiotherapy

ASJC Scopus subject areas

  • Surgery

Cite this

@article{3f029dc52fae4282acde29d27b14c53e,
title = "Breast conservative treatment in association with implant augmentation and intraoperative radiotherapy",
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.",
keywords = "Breast, Conservative treatment, Implant, Intraoperative radiotherapy",
author = "M. Rietjens and {De Lorenzi}, F. and P. Veronesi and M. Intra and M. Venturino and G. Gatti and Petit, {Jean Yves}",
year = "2006",
month = "5",
doi = "10.1016/j.bjps.2005.09.022",
language = "English",
volume = "59",
pages = "532--535",
journal = "Journal of Plastic, Reconstructive and Aesthetic Surgery",
issn = "1748-6815",
publisher = "Churchill Livingstone",
number = "5",

}

TY - JOUR

T1 - Breast conservative treatment in association with implant augmentation and intraoperative radiotherapy

AU - Rietjens, M.

AU - De Lorenzi, F.

AU - Veronesi, P.

AU - Intra, M.

AU - Venturino, M.

AU - Gatti, G.

AU - Petit, Jean Yves

PY - 2006/5

Y1 - 2006/5

N2 - 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.

AB - 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.

KW - Breast

KW - Conservative treatment

KW - Implant

KW - Intraoperative radiotherapy

UR - http://www.scopus.com/inward/record.url?scp=33645954281&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33645954281&partnerID=8YFLogxK

U2 - 10.1016/j.bjps.2005.09.022

DO - 10.1016/j.bjps.2005.09.022

M3 - Article

C2 - 16749200

AN - SCOPUS:33645954281

VL - 59

SP - 532

EP - 535

JO - Journal of Plastic, Reconstructive and Aesthetic Surgery

JF - Journal of Plastic, Reconstructive and Aesthetic Surgery

SN - 1748-6815

IS - 5

ER -