Breast reconstruction after neoadjuvant radio chemotherapy: review and personal technique IDEAL concept REV-EJMR-D-15-00268

Carolin Nestle-Krämling; Edwin Bölke; Wilfried Budach; Christoph Andree

doi:10.1186/s40001-016-0219-8

Breast reconstruction after neoadjuvant radio chemotherapy: review and personal technique IDEAL concept REV-EJMR-D-15-00268

Eur J Med Res. 2016 Jun 10;21(1):24. doi: 10.1186/s40001-016-0219-8.

Authors

Carolin Nestle-Krämling¹, Edwin Bölke², Wilfried Budach³, Christoph Andree⁴

Affiliations

¹ Department of Senology, Sana Kliniken Düsseldorf-Gerresheim, Graeulinger Straße 120, 40625, Düsseldorf, Germany.
² Department of Radiation Oncology, Heinrich Heine University, Moorenstrasse 5, 40225, Düsseldorf, Germany. boelke@med.uni-duesseldorf.de.
³ Department of Radiation Oncology, Heinrich Heine University, Moorenstrasse 5, 40225, Düsseldorf, Germany.
⁴ Department of Plastic and Reconstructive Surgery, Sana Kliniken Düsseldorf-Gerresheim, Graeulinger Straße 120, 40625, Düsseldorf, Germany.

Abstract

Neoadjuvant radio chemotherapy and immediate reconstruction for breast cancer are still under debate. But there are recent abstracts and articles which show that neoadjuvant radio chemotherapy is feasible and could improve the clinical outcome of breast cancer patients. The aim of this review is to present the authors' techniques and approaches with regard to neoadjuvant radiation of breast cancer patients. It seems that the concept of immediate implant delayed autologous breast reconstruction could be a safe procedure that is at least equivalent to primary autologous reconstruction.

Keywords: Autologous breast reconstruction; Breast implant; DIEP flap; IDEAL breast reconstruction; Immediate breast reconstruction; Neoadjuvant radio chemotherapy; TRAM flap.

Publication types

Review

MeSH terms

Breast Neoplasms / surgery*
Breast Neoplasms / therapy
Chemoradiotherapy, Adjuvant*
Female
Humans
Mammaplasty*
Neoadjuvant Therapy*
Postoperative Complications*