Immediate Reconstruction of the Radiated Breast- Recent Trends Contrary to Traditional Standards

摘要: Immediate, implant-only breast reconstruction is traditionally discouraged in patients who receive radiation. It not clear whether this widely recognized mantra of observed practice. The purpose study was to evaluate immediate trends and practices have undergone mastectomy radiation therapy. Female with unilateral cancer required addition were extracted from the Surveillance, Epidemiology, End Results (SEER) database 2000 through 2010. Patients underwent identified analyzed. Univariate logistic regression analyses performed relationship between reconstructive method patient demographic oncologic characteristics. A total 5,481 female included for analysis. Postmastectomy therapy 98.3 % patients. rate among requiring increased 13.6 25.1 %. percentage reconstructed had 27 52 % (p < 0.001) a decrease tissue-only 56 32 % (p < 0.001). In analysis, odds implant over autologous each year by an ratio 1.13 (95 % CI 1.10–1.15). frequency continues increase setting postmastectomy therapy, implant-based representing most commonly utilized method, contrary traditional recommendations. These findings likely reflect changing attitudes towards planned