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The effect of wound complications following mastectomy with immediate reconstruction on breast cancer recurrence
Authors:Stephanie A. Valente  Yitian Liu  Siddhi Upadhyaya  Chao Tu  Debra A. Pratt
Affiliation:Department of General Surgery, Division of Breast Services, Cleveland Clinic, Cleveland, OH, United States
Abstract:

Introduction

The aim of this study was to determine whether complications following mastectomy with immediate breast reconstruction (IBR) were associated with breast cancer recurrence.

Methods

A retrospective review was performed of women diagnosed with stage I-III breast cancer who underwent mastectomy with IBR between 2005 and 2010. Patient demographics, tumor data, surgical wound complications, treatment details and timing were recorded and analyzed.

Results

We identified 458 women with a median follow up time of 7.6 years. A total of 22% of patients experienced IBR complications. There was a delay in initiation of adjuvant therapy in patients who had a complication (52 vs 41 days, p?

Conclusions

In breast cancer patients who undergo mastectomy with IBR, wound complications delayed initiation of adjuvant systemic therapy, but were not associated with an increased risk of cancer recurrence.
Keywords:Breast cancer  Mastectomy  Immediate breast reconstruction  Wound complications  Time to treatment  Recurrence
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