A multidisciplinary approach for autologous breast reconstruction: A narrative (re)view for better management.
作者： Oreste Gentilini , Trine Tramm , Thorsten Kühn , Birgitte V. Offersen , Naama Hermann
DOI: 10.1016/J.RADONC.2021.01.036
关键词: General surgery 、 Breast surgery 、 Breast cancer 、 Contraindication 、 Cosmesis 、 Microsurgery 、 Radiation therapy 、 Oncoplastic Surgery 、 Breast reconstruction 、 Medicine
摘要: Breast reconstruction and oncoplastic surgery have become an important part of breast cancer care. The use autologous (ABR) has evolved significantly with advances in microsurgery, aiming to reduce donor site complications improve cosmesis. For years, immediate-ABR was considered a contraindication if postmastectomy irradiation (PMRT) planned. As result de-escalation axillary the indication PMRT are increasing along-side observations that setting ABR is not contraindicated. Surgical techniques may different amount areas residual glandular tissue patient selection potential disease. Meticulus radiation planning potentially without compromising oncologic outcomes. change constantly aim aesthetic results but should most importantly maintain priority oncological indications. By multidisciplinary team work comprehensive understanding each discipline, we can preserve accomplishments PMRT, disease control.
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