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Posted by on Mar 23, 2015 in Breast cancer | 0 comments

In a nutshell

This paper studied the risk of lymphedema associated with immediate breast reconstruction compared to mastectomy (removal of entire breast) alone. 

Some background

While improvements in breast cancer treatment have led to better survival, there are still side effects of treatment. Lymphedema, the chronic swelling of arms, body and limbs, can be a side effect of breast cancer treatment. This can affect quality of life.

More and more patients are also receiving immediate breast reconstruction (procedure to rebuild breast) after a mastectomy. Studies have suggested that delayed breast reconstruction can reduce risk of lymphedema. However, there has not been any study done comparing mastectomy plus immediate breast reconstruction with mastectomy alone. 

Methods & findings

616 patients with breast cancer who underwent mastectomy were analyzed. They were followed-up after their surgery for an average of 22.2 months.  Of 891 mastectomies, 76% had  immediate breast reconstruction and 24% had no reconstruction.

The 2-year occurrence of lymphedema was 10.58% in those who had immediate breast reconstruction and 26.6% in those who did not have reconstruction. The 2-year occurrence of lymphedema was 4.08% in those who had an implant reconstruction (using implants) compared with 9.89% in those who had autologous reconstruction (using tissues from other parts of body). Immediate breast reconstruction was associated with a 57% reduced risk of lymphedema. In particular, implant reconstruction showed significant reduced risk of lymphedema but autologous reconstruction did not.  

The bottom line

The authors suggested that immediate implant reconstruction had a reduced risk of lymphedema compared to mastectomy. 

The fine print

Differences among patient groups could affect the results. 

Published By :

Annals of Surgery

Date :

Jan 20, 2015

Original Title :

Immediate Implant Reconstruction Is Associated With a Reduced Risk of Lymphedema Compared to Mastectomy Alone: A Prospective Cohort Study.

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