Is mammography useful in screening for local recurrences in patients with TRAM flap breast reconstruction after mastectomy for multifocal DCIS?

ISSN:
1534-4681
Keywords:
Mammography ; Breast cancer ; Local recurrence ; Ductal carcinoma in situ ; Skin-sparing mastectomy
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Background: Skin-sparing mastectomy with immediate transverse rectus abdominis musculocutaneous (TRAM) flap reconstruction is being used more often for the treatment of breast cancer. Mammography is not used routinely to evaluate TRAM flaps in women who have undergone mastectomy. We have identified the potential value of its use in selected patients. Methods and Results: We report on four women who manifested local recurrences in TRAM flaps after initial treatment for ductal carcinoma in situ (DCIS) or DCIS with microinvasion undergoing skin-sparing mastectomy and immediate reconstruction. All four patients presented with extensive, high-grade, multifocal DCIS that precluded breast conservation. Three of four mastectomy specimens demonstrated tumor close to the surgical margin. Three of the four recurrences were detected by physical examination; the remaining local recurrence was documented by screening mammography. The recurrences had features suggestive of malignancy on mammography. Conclusion: We conclude that all patients undergoing mastectomy and TRAM reconstruction for extensive, multifocal DCIS should undergo regular routine mammography of the reconstructed breast. Our experience with this subgroup of patients raises concern about the value of skin-sparing mastectomy with immediate reconstruction for therapy. Adjuvant radiation therapy should be recommended for those patients with negative but close surgical margins.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF02303866
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autor Salas, A. P.
Helvie, Mark A.
Wilkins, Edwin G.
Oberman, Harold A.
Possert, Peter W.
Yahanda, Alan M.
Chang, Alfred E.
autorsonst Salas, A. P.
Helvie, Mark A.
Wilkins, Edwin G.
Oberman, Harold A.
Possert, Peter W.
Yahanda, Alan M.
Chang, Alfred E.
book_url http://dx.doi.org/10.1007/BF02303866
datenlieferant nat_lic_papers
hauptsatz hsatz_simple
identnr NLM207540667
issn 1534-4681
journal_name Annals of surgical oncology
materialart 1
notes Abstract Background: Skin-sparing mastectomy with immediate transverse rectus abdominis musculocutaneous (TRAM) flap reconstruction is being used more often for the treatment of breast cancer. Mammography is not used routinely to evaluate TRAM flaps in women who have undergone mastectomy. We have identified the potential value of its use in selected patients. Methods and Results: We report on four women who manifested local recurrences in TRAM flaps after initial treatment for ductal carcinoma in situ (DCIS) or DCIS with microinvasion undergoing skin-sparing mastectomy and immediate reconstruction. All four patients presented with extensive, high-grade, multifocal DCIS that precluded breast conservation. Three of four mastectomy specimens demonstrated tumor close to the surgical margin. Three of the four recurrences were detected by physical examination; the remaining local recurrence was documented by screening mammography. The recurrences had features suggestive of malignancy on mammography. Conclusion: We conclude that all patients undergoing mastectomy and TRAM reconstruction for extensive, multifocal DCIS should undergo regular routine mammography of the reconstructed breast. Our experience with this subgroup of patients raises concern about the value of skin-sparing mastectomy with immediate reconstruction for therapy. Adjuvant radiation therapy should be recommended for those patients with negative but close surgical margins.
package_name Springer
publikationsjahr_anzeige 1998
publikationsjahr_facette 1998
publikationsjahr_intervall 8004:1995-1999
publikationsjahr_sort 1998
publisher Springer
reference 5 (1998), S. 456-463
schlagwort Mammography
Breast cancer
Local recurrence
Ductal carcinoma in situ
Skin-sparing mastectomy
search_space articles
shingle_author_1 Salas, A. P.
Helvie, Mark A.
Wilkins, Edwin G.
Oberman, Harold A.
Possert, Peter W.
Yahanda, Alan M.
Chang, Alfred E.
shingle_author_2 Salas, A. P.
Helvie, Mark A.
Wilkins, Edwin G.
Oberman, Harold A.
Possert, Peter W.
Yahanda, Alan M.
Chang, Alfred E.
shingle_author_3 Salas, A. P.
Helvie, Mark A.
Wilkins, Edwin G.
Oberman, Harold A.
Possert, Peter W.
Yahanda, Alan M.
Chang, Alfred E.
shingle_author_4 Salas, A. P.
Helvie, Mark A.
Wilkins, Edwin G.
Oberman, Harold A.
Possert, Peter W.
Yahanda, Alan M.
Chang, Alfred E.
shingle_catch_all_1 Salas, A. P.
Helvie, Mark A.
Wilkins, Edwin G.
Oberman, Harold A.
Possert, Peter W.
Yahanda, Alan M.
Chang, Alfred E.
Is mammography useful in screening for local recurrences in patients with TRAM flap breast reconstruction after mastectomy for multifocal DCIS?
Mammography
Breast cancer
Local recurrence
Ductal carcinoma in situ
Skin-sparing mastectomy
Mammography
Breast cancer
Local recurrence
Ductal carcinoma in situ
Skin-sparing mastectomy
Abstract Background: Skin-sparing mastectomy with immediate transverse rectus abdominis musculocutaneous (TRAM) flap reconstruction is being used more often for the treatment of breast cancer. Mammography is not used routinely to evaluate TRAM flaps in women who have undergone mastectomy. We have identified the potential value of its use in selected patients. Methods and Results: We report on four women who manifested local recurrences in TRAM flaps after initial treatment for ductal carcinoma in situ (DCIS) or DCIS with microinvasion undergoing skin-sparing mastectomy and immediate reconstruction. All four patients presented with extensive, high-grade, multifocal DCIS that precluded breast conservation. Three of four mastectomy specimens demonstrated tumor close to the surgical margin. Three of the four recurrences were detected by physical examination; the remaining local recurrence was documented by screening mammography. The recurrences had features suggestive of malignancy on mammography. Conclusion: We conclude that all patients undergoing mastectomy and TRAM reconstruction for extensive, multifocal DCIS should undergo regular routine mammography of the reconstructed breast. Our experience with this subgroup of patients raises concern about the value of skin-sparing mastectomy with immediate reconstruction for therapy. Adjuvant radiation therapy should be recommended for those patients with negative but close surgical margins.
1534-4681
15344681
Springer
shingle_catch_all_2 Salas, A. P.
Helvie, Mark A.
Wilkins, Edwin G.
Oberman, Harold A.
Possert, Peter W.
Yahanda, Alan M.
Chang, Alfred E.
Is mammography useful in screening for local recurrences in patients with TRAM flap breast reconstruction after mastectomy for multifocal DCIS?
Mammography
Breast cancer
Local recurrence
Ductal carcinoma in situ
Skin-sparing mastectomy
Mammography
Breast cancer
Local recurrence
Ductal carcinoma in situ
Skin-sparing mastectomy
Abstract Background: Skin-sparing mastectomy with immediate transverse rectus abdominis musculocutaneous (TRAM) flap reconstruction is being used more often for the treatment of breast cancer. Mammography is not used routinely to evaluate TRAM flaps in women who have undergone mastectomy. We have identified the potential value of its use in selected patients. Methods and Results: We report on four women who manifested local recurrences in TRAM flaps after initial treatment for ductal carcinoma in situ (DCIS) or DCIS with microinvasion undergoing skin-sparing mastectomy and immediate reconstruction. All four patients presented with extensive, high-grade, multifocal DCIS that precluded breast conservation. Three of four mastectomy specimens demonstrated tumor close to the surgical margin. Three of the four recurrences were detected by physical examination; the remaining local recurrence was documented by screening mammography. The recurrences had features suggestive of malignancy on mammography. Conclusion: We conclude that all patients undergoing mastectomy and TRAM reconstruction for extensive, multifocal DCIS should undergo regular routine mammography of the reconstructed breast. Our experience with this subgroup of patients raises concern about the value of skin-sparing mastectomy with immediate reconstruction for therapy. Adjuvant radiation therapy should be recommended for those patients with negative but close surgical margins.
1534-4681
15344681
Springer
shingle_catch_all_3 Salas, A. P.
Helvie, Mark A.
Wilkins, Edwin G.
Oberman, Harold A.
Possert, Peter W.
Yahanda, Alan M.
Chang, Alfred E.
Is mammography useful in screening for local recurrences in patients with TRAM flap breast reconstruction after mastectomy for multifocal DCIS?
Mammography
Breast cancer
Local recurrence
Ductal carcinoma in situ
Skin-sparing mastectomy
Mammography
Breast cancer
Local recurrence
Ductal carcinoma in situ
Skin-sparing mastectomy
Abstract Background: Skin-sparing mastectomy with immediate transverse rectus abdominis musculocutaneous (TRAM) flap reconstruction is being used more often for the treatment of breast cancer. Mammography is not used routinely to evaluate TRAM flaps in women who have undergone mastectomy. We have identified the potential value of its use in selected patients. Methods and Results: We report on four women who manifested local recurrences in TRAM flaps after initial treatment for ductal carcinoma in situ (DCIS) or DCIS with microinvasion undergoing skin-sparing mastectomy and immediate reconstruction. All four patients presented with extensive, high-grade, multifocal DCIS that precluded breast conservation. Three of four mastectomy specimens demonstrated tumor close to the surgical margin. Three of the four recurrences were detected by physical examination; the remaining local recurrence was documented by screening mammography. The recurrences had features suggestive of malignancy on mammography. Conclusion: We conclude that all patients undergoing mastectomy and TRAM reconstruction for extensive, multifocal DCIS should undergo regular routine mammography of the reconstructed breast. Our experience with this subgroup of patients raises concern about the value of skin-sparing mastectomy with immediate reconstruction for therapy. Adjuvant radiation therapy should be recommended for those patients with negative but close surgical margins.
1534-4681
15344681
Springer
shingle_catch_all_4 Salas, A. P.
Helvie, Mark A.
Wilkins, Edwin G.
Oberman, Harold A.
Possert, Peter W.
Yahanda, Alan M.
Chang, Alfred E.
Is mammography useful in screening for local recurrences in patients with TRAM flap breast reconstruction after mastectomy for multifocal DCIS?
Mammography
Breast cancer
Local recurrence
Ductal carcinoma in situ
Skin-sparing mastectomy
Mammography
Breast cancer
Local recurrence
Ductal carcinoma in situ
Skin-sparing mastectomy
Abstract Background: Skin-sparing mastectomy with immediate transverse rectus abdominis musculocutaneous (TRAM) flap reconstruction is being used more often for the treatment of breast cancer. Mammography is not used routinely to evaluate TRAM flaps in women who have undergone mastectomy. We have identified the potential value of its use in selected patients. Methods and Results: We report on four women who manifested local recurrences in TRAM flaps after initial treatment for ductal carcinoma in situ (DCIS) or DCIS with microinvasion undergoing skin-sparing mastectomy and immediate reconstruction. All four patients presented with extensive, high-grade, multifocal DCIS that precluded breast conservation. Three of four mastectomy specimens demonstrated tumor close to the surgical margin. Three of the four recurrences were detected by physical examination; the remaining local recurrence was documented by screening mammography. The recurrences had features suggestive of malignancy on mammography. Conclusion: We conclude that all patients undergoing mastectomy and TRAM reconstruction for extensive, multifocal DCIS should undergo regular routine mammography of the reconstructed breast. Our experience with this subgroup of patients raises concern about the value of skin-sparing mastectomy with immediate reconstruction for therapy. Adjuvant radiation therapy should be recommended for those patients with negative but close surgical margins.
1534-4681
15344681
Springer
shingle_title_1 Is mammography useful in screening for local recurrences in patients with TRAM flap breast reconstruction after mastectomy for multifocal DCIS?
shingle_title_2 Is mammography useful in screening for local recurrences in patients with TRAM flap breast reconstruction after mastectomy for multifocal DCIS?
shingle_title_3 Is mammography useful in screening for local recurrences in patients with TRAM flap breast reconstruction after mastectomy for multifocal DCIS?
shingle_title_4 Is mammography useful in screening for local recurrences in patients with TRAM flap breast reconstruction after mastectomy for multifocal DCIS?
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source_archive Springer Online Journal Archives 1860-2000
timestamp 2024-05-06T09:50:40.167Z
titel Is mammography useful in screening for local recurrences in patients with TRAM flap breast reconstruction after mastectomy for multifocal DCIS?
titel_suche Is mammography useful in screening for local recurrences in patients with TRAM flap breast reconstruction after mastectomy for multifocal DCIS?
topic WW-YZ
uid nat_lic_papers_NLM207540667