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논문 기본 정보

자료유형
학술저널
저자정보
Kim, Seong-Hwan (Department of Plastic and Reconstructive Surgery, Chonnam National University Hospital, Chonnam National University School of Medicine) Kim, Jeong-Min (Department of Plastic and Reconstructive Surgery, Chonnam National University Hospital, Chonnam National University School of Medicine) Park, Sun-Hyung (Department of Plastic and Reconstructive Surgery, Chonnam National University Hospital, Chonnam National University School of Medicine) Lee, Sam-Yong (Department of Plastic and Reconstructive Surgery, Chonnam National University Hospital, Chonnam National University School of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제39권 제3호
발행연도
2012.1
수록면
222 - 226 (5page)

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Background : Immediate breast reconstruction after mastectomy and delayed breast reconstruction with post-supplementary treatment are the two types of breast reconstruction currently performed when treating breast cancer. Post-mastectomy radiation therapy (PMRT) not only reduces local recurrence but also improves overall survival. However, the complications and survival rates associated with PMRT need to be clear when determining the timing of breast reconstruction. Accordingly, we investigated the optimal timing of breast reconstruction by observing patients who underwent mastectomy followed by PMRT, based on their overall health and aesthetic satisfaction. Methods : We retrospectively reviewed 21 patients who underwent breast reconstruction with PMRT between November 2004 and November 2010. We collected data regarding the various methods of mastectomy, and the modality of adjuvant therapy, such as chemotherapy, hormone therapy, and radiotherapy. Telephone interviews were conducted to study the general and aesthetic satisfaction. Results : Patients who received PMRT after breast reconstruction showed a greater complication rate than those undergoing breast reconstruction after PMRT (P=0.02). Aesthetic satisfaction was significantly higher in the groups undergoing breast reconstruction after PMRT (P=0.03). Patients who underwent breast reconstruction before PMRT developed complications more frequently, but they expressed greater aesthetic satisfaction with the treatment. Conclusions : It is recommended that the complication rates and aesthetic satisfaction after breast reconstruction be carefully considered when determining the optimal timing for radiotherapy.
#Breast #Mastectomy #Radiotherapy

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참고문헌 (24)

참고문헌 신청
Sue K. Park / 2011 / Risk Factors and Control Strategies for the Rapidly Rising Rate of Breast Cancer in Korea / Journal of Breast Cancer 14(2):79~87 google schola Clarke M / 2005 / Effects of radiotherapy and of differences in the extent of surgery for early breast cancer on local recurrence and 15-year survival: an overview of the randomised trials / Lancet 366:2087~2106 google schola Han SH / 1995 / Immediate breast reconstruction after mastectomy / J Korean Soc Plast Reconstr Surg 22:843~851 google schola Andrade WN / 2001 / Clinical determinants of patient satisfaction with breast reconstruction / Plast Reconstr Surg 107:46~54 google schola Alderman AK / 2000 / Determinants of patient satisfaction in postmastectomy breast reconstruction / Plast Reconstr Surg 106:769~776 google schola

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