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Breast Reconstruction and Radiation Therapy: An Update

2017; Lippincott Williams & Wilkins; Volume: 140; Issue: 5S Linguagem: Inglês

10.1097/prs.0000000000003943

1529-4242

Jonas A. Nelson, Joseph J. Disa,

Reconstructive Surgery and Microvascular Techniques

With the indications for radiation therapy in the treatment of breast cancer continuing to expand, many patients present for reconstruction having previously had radiation or having a high likelihood of requiring radiation following mastectomy. Both situations are challenging for the plastic surgeon, with different variables impacting the surgical outcome. To date, multiple studies have been performed examining prosthetic and autologous reconstruction in this setting. The purpose of this article was to provide a general platform for understanding the literature as it relates to reconstruction and radiation through an examination of recent systematic reviews and relevant recent publications. We examined this with a focus on the timing of the radiation, and within this context, examined the data from the traditional surgical outcomes standpoint as well as from a patient-reported outcomes perspective. The data provided within will aid in patient counseling and the informed consent process.