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논문 기본 정보

자료유형
학술저널
저자정보
양정덕 (경북대학교 의과대학 성형외과학교실) 김학태 (경북대학교 의과대학 성형외과학교실) 정호윤 (경북대학교 의과대학 성형외과학교실) 조병채 (경북대학교 의과대학 성형외과학교실) 최강영 (경북대학교 의과대학 성형외과학교실) 이정훈 (경북대학교 의과대학 성형외과학교실) 이정우 (경북대학교 의과대학 성형외과학교실) 박호용 (경북대학교 의과대학 외과학교실) 정진향 (경북대학교 의과대학 외과학교실) 채의수 (경북대학교 의과대학 내과학교실)
저널정보
대한성형외과학회 대한성형외과학회지 대한성형외과학회지 제38권 제5호
발행연도
2011.1
수록면
627 - 635 (9page)

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Purpose: Advanced breast cancer traditionally has been perceived as a contraindication to immediate breast reconstruction, because of concerns regarding adjuvant treatment delays and the cosmetic effects of radiotherapy to breast reconstruction, so delayed reconstruction is usually preferred in advanced breast cancer patients undergoing mastectomy. However, with the improved outcome using multimodality therapy, consisting of perioperative chemotherapy and radiotherapy, immediate breast reconstruction is now being performed as surgical option for selected advanced breast cancer patients. Additionally, advanced breast cancer patients may be needed soft tissue coverage of an extensive skin and soft tussue defect after mastectomy. Current authors have experienced several types of immediate breast and chest wall reconstruction for advanced breast cancer. Methods: From December of 2007 to June of 2009, 14 women performed for immediate breast and chest wall reconstruction for advanced breast cancer. They had been treated with neoadjuvant chemotherapy or chemoradiotherapy followed by modified radical mastectomy or radical mastectomy. Four different techniques were used immediate breast and chest wall reconstruction, which are pedicled TRAM flap (4 cases), extended LD flap with STSG (3 cases), thoracoabdominal flap (4 cases) and thoracoepigastric flap (3 cases). Results: The mean age was 53 years and mean follow up period was 9 months. Patients' oncologic status ranged stage IIIa to stage IV. Two patients had major complications: partial flap necrosis of TRAM flap and one distal necrosis of thoracoabdominal flap. Three patients with stage IV disease died from metastases. Conclusion: The result of this study suggests that immediate breast and chest wall reconstruction can be considered as surgical option for advanced breast cancer. But we need long term follow up and large prospective studies for recurrence and survival.

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