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21.12.2022 | Original Article

Meta-Analysis of the Oncological Safety of Autologous Fat Grafting After Breast Cancer on Basic Science and Clinical Studies

verfasst von: Kai Wang, Zhou Yu, Xiangke Rong, Jiezhang Tang, Juanli Dang, Huichen Li, Jizhong Yang, Han Peng, Chenggang Yi

Erschienen in: Aesthetic Plastic Surgery | Ausgabe 4/2023

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Abstract

Background

The purpose of the present study was to comprehensively evaluate the oncological safety of autologous fat grafting after breast cancer by combining experimental and clinical studies.

Methods

All studies published before August 2021 were collected by searching PubMed, Cochrane, Embase, Web of Science, SINOMED, and China National Knowledge Infrastructure. After screening the research and extracting the data, RevMan was used to perform the meta-analysis.

Results

Five basic science studies and 26 clinical studies, involving a total of 10,125 patients, were eventually included. In the basic science studies, adipose-derived stem cells promoted breast cancer growth, but fat grafting and adipose-derived stem cells plus fat grafting were not associated with breast cancer growth. An overall analysis of clinical studies showed that autologous fat grafting does not increase the risk of breast cancer recurrence. Subgroup analyses indicated that autologous fat grafting did not increase the risk of breast cancer recurrence in Asian or Caucasian patients, in patients undergoing breast-conserving surgery or modified radical mastectomy, in patients with in situ carcinomas or invasive carcinomas, or in patients undergoing postoperative radiotherapy.

Conclusion

This study combined experimental and clinical studies to conclude that autologous fat grafting does not increase the risk of breast cancer recurrence. However, the experimental results suggest that adipose-derived stem cells should be used with caution after breast cancer surgery.

Level of Evidence III

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Titel: Meta-Analysis of the Oncological Safety of Autologous Fat Grafting After Breast Cancer on Basic Science and Clinical Studies
verfasst von: Kai Wang
Zhou Yu
Xiangke Rong
Jiezhang Tang
Juanli Dang
Huichen Li
Jizhong Yang
Han Peng
Chenggang Yi
Publikationsdatum: 21.12.2022
Verlag: Springer US
Erschienen in: Aesthetic Plastic Surgery / Ausgabe 4/2023
Print ISSN: 0364-216X
Elektronische ISSN: 1432-5241
DOI: https://doi.org/10.1007/s00266-022-03217-7

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Abstract

Background

Methods

Results

Conclusion

Level of Evidence III

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