2020 Volume 5 Issue 3 Pages 56-60
In recent years, an increasing number of patients with breast cancer are being offered immediate breast reconstruction using implants. Between 1999 and 2018 at our institution, 781 patients underwent immediate breast reconstruction using implants after mastectomy. Among them chest wall was identified as the first recurrence site in seven (0.9%) . Six patients were diagnosed with only loco-regional recurrence, and synchronous distant metastases were identified in one patient. All six patients with only loco-regional recurrence were able to undergo complete surgical resection, and the original implant was successfully preserved in four. The patient with distant metastases was treated by systemic therapy without surgical resection. Our study suggests that breast reconstruction with an implant does not increase the loco-regional recurrence rate and is a safe option that enables necessary treatment at the time of loco-regional recurrence.
