The oncologic outcome and immediate surgical complications of lipofilling in breast cancer patients: A multicenter study-milan-paris-lyon experience of 646 lipofilling procedures

Jean Yves Petit, Visnu Lohsiriwat, Krishna B. Clough, Isabelle Sarfati, Tarik Ihrai, Mario Rietjens, Paolo Veronesi, Fabio Rossetto, Anna Scevola, Emmanuel Delay

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Background: Lipofilling is now performed to improve the breast contour, after both breast-conserving surgery and breast reconstruction. However, injection of fat into a previous tumor site may create a new environment for cancer and adjacent cells. There is also no international agreement regarding lipofilling after breast cancer treatment. Methods: The authors included three institutions specializing in both breast cancer treatment and breast reconstruction (European Institute of Oncology, Milan, Italy; Paris Breast Center, Paris, France; and Leon Berard Centre, Lyon, France) for a multicenter study. A collective chart review of all lipofilling procedures after breast cancer treatment was performed. Results: From 2000 to 2010, the authors reviewed 646 lipofilling procedures from 513 patients. There were 370 mastectomy patients and 143 breast-conserving surgery patients. There were 405 patients (78.9 percent) with invasive carcinoma and 108 (21.1 percent) with carcinoma in situ. The average interval between oncologic surgical interventions and lipofilling was 39.7 months. Average follow-up after lipofilling was 19.2 months. The authors observed a complication rate of 2.8 percent (liponecrosis, 2.0 percent). Twelve radiologic images appeared after lipofilling in 119 breast-conserving surgery cases (10.1 percent). The overall oncologic event rate was 5.6 percent (3.6 percent per year). The locoregional event rate was 2.4 percent (1.5 percent per year).Conclusions: Lipofilling after breast cancer treatment leads to a low complication rate and does not affect radiologic follow-up after breast-conserving surgery. A prospective clinical registry including high-volume multicenter data with a long follow-up is warranted to demonstrate the oncologic safety. Until then, lipofilling should be performed in experienced hands, and a cautious oncologic follow-up protocol is advised.

Original languageEnglish
Title of host publicationPlastic Surgery Complete: The Clinical Masters of PRS- Breast Reconstruction
PublisherWolters Kluwer Health Adis (ESP)
Pages14-19
Number of pages6
ISBN (Print)9781496304919
DOIs
Publication statusPublished - Feb 11 2015

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint Dive into the research topics of 'The oncologic outcome and immediate surgical complications of lipofilling in breast cancer patients: A multicenter study-milan-paris-lyon experience of 646 lipofilling procedures'. Together they form a unique fingerprint.

  • Cite this

    Petit, J. Y., Lohsiriwat, V., Clough, K. B., Sarfati, I., Ihrai, T., Rietjens, M., Veronesi, P., Rossetto, F., Scevola, A., & Delay, E. (2015). The oncologic outcome and immediate surgical complications of lipofilling in breast cancer patients: A multicenter study-milan-paris-lyon experience of 646 lipofilling procedures. In Plastic Surgery Complete: The Clinical Masters of PRS- Breast Reconstruction (pp. 14-19). Wolters Kluwer Health Adis (ESP). https://doi.org/10.1097/PRS.0b013e31821e713c