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12.07.2018 | Risk and Prevention (ME Wood, Section Editor)

Breast Reconstruction in the Setting of Surgical Prevention for Breast Cancer

Zeitschrift:
Current Breast Cancer Reports
Autoren:
Candice M. Leach, Meredith S. Collins
Wichtige Hinweise
This article is part of the Topical Collection on Risk and Prevention

Abstract

Purpose of Review

Breast reconstruction after prophylactic mastectomy is an important component of the surgical prevention of breast cancer. Women who undergo bilateral prophylactic mastectomy view reconstruction as part of their treatment and the choice to pursue a contralateral mastectomy is influenced by the availability of reconstruction.

Recent Findings

There has been increased data available on both medical outcomes and patient-reported outcomes in reconstruction after mastectomy. This review of recent literature includes trends and outcomes with contralateral and bilateral prophylactic mastectomy with reconstruction, discussion of outcomes in implant and autologous tissue-based reconstruction, advancements in pre-pectoral implant placement, and new techniques of simultaneous mastectomy with reconstruction combined with gynecologic risk-reducing surgery.

Summary

Choice of reconstruction after prophylactic mastectomy is based on patient factors, availability of specialist services, and patient preference. Informed discussion with patients, plastic surgery, surgical oncology, and gynecology is necessary to determine the best option for each patient.

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