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Immediate breast reconstruction with latissimus dorsi musculocutaneous flap: A suitable option for chinese women after mastectomy

  • Published:
Chinese Journal of Cancer Research

Abstract

Objective

To discuss the suitable immediate breast reconstruction modalities for Chinese patients by comparing the pedicled transverse rectus abdominis myocytaneous flap (TRAM) reconstruction with latissimus dorsi myocytaneous flap (LTD) reconstruction plus implants or not after mastectomy due to breast cancer.

Methods

From Jan. 2000 to Jul. 2005, 74 staged 0-II patients (mean age 39) were performed immediate breast reconstruction with autologous tissue either using LTD flaps or pedicled TRAM flaps with supplemental implants when necessary after mastectomy due to breast cancer and the charts were reviewed.

Results

The age, marriage and menses status did not affect the selection of modalities and the need of implants. In 74 patients, 62 cases (83.8%) were performed LTD reconstruction with 13 implants and 12 cases received TRAM with 1 implant. The difference in need of implants or not between the two modalities had no statistical significance (P=0.442, Fisher’ exact test). Aesthetic results judged as good or fair were in 88% patients and the cosmetic effects between LTD and TRAM groups or implant and non-implant groups had no differences. All reconstructions were successful, with 4.1% cumulative locoregional recurrence and 100% overall survival by following up to 66 months (median 9 months). The DFS and RFS between the two modalities had no significant differences by log rank test.

Conclusion

Immediate autologous tissue reconstruction makes it possible to regain the natural and symmetric contour of breast without increased local recurrence. The LTD flap reconstruction is a suitable option for most Chinese women as well as the pedicled TRAM flap.

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References

  1. Benditte-Klepetko H, Koller R, Ptak-Butta J, et al. Psychosocial aspects of breast reconstruction[J]. Geburtshilfe Und Frauenheilkunde 2003; 63: 37–42.

    Article  Google Scholar 

  2. Pennington DG. Breast reconstruction after mastectomy: Current stage of the art[J]. Am J Sur 2005; 75: 454–8.

    Article  Google Scholar 

  3. Zhang XH, Yin J, Zhang RM. Immediate breast reconstruction by TRAM after modified radical mastectomy for breast cancer[J]. Chin J Clin Oncol 2002; 29: 495–7.

    Google Scholar 

  4. Chagpar A, Langstein HN, Kronowitz SJ, et al. Treatment and outcome of patients with chest wall recurrence after mastectomy and breast reconstruction[J]. Am J Sur 2004; 187: 164–9.

    Article  Google Scholar 

  5. Sandelin K, wickman M, Billgren AM. Oncological outcome after immediate breast reconstruction for invasive breast cancer: a long-term study[J]. Breast 2004; 13: 210–8.

    Article  PubMed  CAS  Google Scholar 

  6. Kroll S, Khoo A, Singletary S. Local recurrence risk after skin-sparing and conventional mastectomy: a 6-year follow-up[J]. Plast Reconstr Surg 1999; 104: 421–5.

    PubMed  CAS  Google Scholar 

  7. Behnam AB, Nguyen D, Moran SL, et al. TRAM flap breast reconstruction for patients with advanced breast disease[J]. Ann Plast Sur 2003; 50: 567–70.

    Article  Google Scholar 

  8. Evans G, Kroll S. Cholice of technique for reconstruction[J]. Clin Plast Sur 1998; 25: 311–6.

    CAS  Google Scholar 

  9. Reece GP, Kroll SS. Abdominal wall complications. Prevention and treatment[J]. Clin Plast Sur 1998; 25: 235–49.

    CAS  Google Scholar 

  10. Gerber B, Krause A, Reimer T, et al. Breast reconstruction with latissimus dorsi flap: improved aesthetic results after transaction of its humeral insertion[J]. Plast Reconstr Sur 1999; 103: 1876–81.

    Article  CAS  Google Scholar 

  11. Krueger EA, Wilkins EG, Strawderman M, et al. Complications and patient satisfaction following expander/implant breast reconstruction with and without radiotherapy[J]. Intl J Rad Oncol Biol Phys 2001; 49: 713–21.

    Article  CAS  Google Scholar 

  12. Karlson EW, Hankinson SE, Liang MH, et al. Association of silicone breast implants with immunologic abnormalities: A prospective study[J]. Am J Med 1999; 106: 11–9.

    Article  PubMed  CAS  Google Scholar 

  13. Downes KJ, Glatt BS, Kanchwala SK, et al. Skin-sparing mastectomy and immediate reconstruction is an acceptable treatment option for patients with high-risk breast carcinoma[J]. Cancer 2005; 103: 906–13.

    Article  PubMed  Google Scholar 

  14. Fersis N, Hoenig A, Relakis K, et al. Skin-sparing mastectomy and immediate breast reconstruction: incidence of recurrence in patients with invasive breast cvancer[J]. Breast 2004; 13: 488–93.

    Article  PubMed  CAS  Google Scholar 

  15. Rivadeneira DE, Simmons RM, Fish SK, et al. Skin-sparing mastectomy with immediate breast reconstruction: a critical analysis of local recurrence[J]. Cancer J 2000; 6: 331–5.

    PubMed  CAS  Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Breast Surgery, Cancer Hospital, Shanghai Medical College, Fudan University, Shanghai, 200032, China

    Di Gen-hong  (狄根红), Yu Ke-da  (余科达), Wu Jiong  (吴炅), Lu Jin-song  (陆劲松), Shen Zhen-zhou  (沈镇宙) & Shao Zhi-min  (邵志敏)

  2. Department of Plastic Surgery, Zhongshan Hospital, Shanghai Medical College, Fudan University, Shanghai, 200032, China

    Qi Fa-zhi  (亓发芝)

Authors
  1. Di Gen-hong  (狄根红)
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  2. Yu Ke-da  (余科达)
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  3. Wu Jiong  (吴炅)
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  4. Qi Fa-zhi  (亓发芝)
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  5. Lu Jin-song  (陆劲松)
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  6. Shen Zhen-zhou  (沈镇宙)
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  7. Shao Zhi-min  (邵志敏)
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Corresponding author

Correspondence to Shao Zhi-min  (邵志敏).

Additional information

Biography: DI Gen-hong(1969–), female, master of medicine, Cancer Hospital, Shanghai Medical College, Fudan University.

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Di, Gh., Yu, Kd., Wu, J. et al. Immediate breast reconstruction with latissimus dorsi musculocutaneous flap: A suitable option for chinese women after mastectomy. Chin. J. Cancer Res. 18, 88–93 (2006). https://doi.org/10.1007/s11670-006-0088-8

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  • DOI: https://doi.org/10.1007/s11670-006-0088-8

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