ABSTRACT: Immediate Breast Reconstruction with Saline-Filled Implants:
No Interference with the Oncologic Outcome?
The possible adverse effects on cancer control due to immediate
breast reconstruction have been addressed recently for both silicone-filled
implants and flap reconstruction.
To evaluate those possible
effects after immediate breast reconstruction with saline-filled
implants, 49 patients reconstructed with saline-filled breast
implants at the Jules Bordet Cancer Institute were studied. Selection
was only based on the possibility to find a matched patient.
These patients were matched with a control group of 49 matched
women with breast cancer treated in the same center by mastectomy
without any type of breast reconstruction. The two groups were
comparable according to age at diagnosis (within 3 years), year
of diagnosis (same year), stage of the tumor, histology, and
The only difference between the two groups was
that radiation therapy was applied to some of the patients who
were not reconstructed (due to tumor location).
The results show,
in terms of local recurrences, distant metastasis, and deaths,
no significant difference between the two groups, even for the
irradiated patients, within a mean follow-up period of 72 months
(range, 24 to 108) months.
[05/11/2001; Plastic and Reconstructive Surgery]
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