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. 1986 May;203(5):481–490. doi: 10.1097/00000658-198605000-00006

Conservative treatment for breast cancer. Complications requiring reconstructive surgery.

J Bostwick 3rd, C Paletta, C R Hartrampf
PMCID: PMC1251149  PMID: 3010888

Abstract

Women who select conservative treatment for carcinoma of the breast (tumor excision followed by supervoltage radiation therapy) place a premium on breast preservation and aesthetics. When local control fails and they require a mastectomy, or when the aesthetic appearance is unacceptable, they may request breast reconstruction. The goal of this study is to evaluate a series of 10 patients who required reconstructive breast surgery after complications of conservative treatment. Patient classification: I. Breast or chest wall necrosis (3). II. Breast fibrosis and gross asymmetry (3). III. Local recurrence of breast cancer (5). IV. Positive margins after the initial lumpectomy (1). The mean age was 34 years. Radiation dosage average was 5252 rads with two patients receiving iridium-192 implant boosts. The reconstructive management was complex and usually required a major musculocutaneous flap because of the radiation effects.

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486FIGS. 4A and B.
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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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