Ipsilateral breast cancer recurrence after Deep Inferior Epigastric Perforator (DIEP) flap reconstruction: Incidence and radiological presentation.
Diagn Interv Imaging
; 97(2): 203-9, 2016 Feb.
Article
en En
| MEDLINE
| ID: mdl-26282051
ABSTRACT
PURPOSE:
To assess the incidence and presentation of ipsilateral cancer recurrences (ICR) after deep inferior epigastric perforator (DIEP) flap reconstruction for breast cancer. PATIENTS ANDMETHODS:
Data of 247 consecutive women with DIEP flap reconstruction after breast cancer in our institution between 1997 and 2009 were retrospectively reviewed.RESULTS:
Mean follow-up time was 4.1years±3.2 (SD) (median 3years; range 1month - 14years). Thirty-one patients (12.5%, 95%CI =8.7-17.3) presented 34 relapses, in average 4.1years±2.6 after mastectomy 14 (41%) were ipsilateral, 6 (18%) contralateral and 14 (41%) metastatic. ICRs occurred earlier (3.9 vs. 5.8years; P<0.05) than non-ICRs. Most ICRs (10/14, 71%) involved the periphery of the flap and presented as palpable nodules. The remaining (4/14, 29%) involved the axilla and 3/4 (75%) were palpable. Imaging procedures detected infra-clinical ICRs in 3 of 10 imaged patients (30%).CONCLUSION:
ICRs after DIEP flap reconstruction are more frequent than contralateral recurrences suggesting the need for imaging follow-up of the reconstructed breast.Palabras clave
Texto completo:
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Bases de datos:
MEDLINE
Asunto principal:
Neoplasias de la Mama
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Mamografía
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Neoplasias Primarias Secundarias
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Mamoplastia
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Colgajo Perforante
Tipo de estudio:
Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adult
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Aged
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Female
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Humans
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Middle aged
Idioma:
En
Revista:
Diagn Interv Imaging
Año:
2016
Tipo del documento:
Article
País de afiliación:
Francia