Conservative treatment for breast cancer. Complications requiring reconstructive surgery.
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.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 해부 | breast
|
유방 | dict | 8 | |
| 시술 | flap
|
피판재건술 | dict | 1 | |
| 합병증 | necrosis
|
괴사 | dict | 1 | |
| 합병증 | asymmetry
|
비대칭 | dict | 1 | |
| 합병증 | musculocutaneous flap
|
scispacy | 1 | ||
| 질환 | breast cancer
|
C0006142
Malignant neoplasm of breast
|
scispacy | 1 | |
| 질환 | carcinoma of the breast
|
C0678222
Breast Carcinoma
|
scispacy | 1 | |
| 질환 | tumor
|
C0027651
Neoplasms
|
scispacy | 1 | |
| 질환 | fibrosis
|
C0016059
Fibrosis
|
scispacy | 1 | |
| 질환 | carcinoma
|
scispacy | 1 | ||
| 기타 | Women
|
scispacy | 1 | ||
| 기타 | patients
|
scispacy | 1 | ||
| 기타 | Patient
|
scispacy | 1 |
MeSH Terms
Adult; Breast; Breast Diseases; Breast Neoplasms; Carcinoma, Intraductal, Noninfiltrating; Combined Modality Therapy; Esthetics; Evaluation Studies as Topic; Female; Humans; Mastectomy; Middle Aged; Necrosis; Neoplasm Recurrence, Local; Postoperative Complications; Radiation Injuries; Surgery, Plastic; Surgical Flaps; Time Factors
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