Controlateral Symmetrisation in SRM for Breast Cancer: Now or Then? Immediate versus Delayed Symmetrisation in a Two-Stage Breast Reconstruction

Casella, Donato; Fusario, Daniele; Cassetti, Dario; Pesce, Anna Lisa; Luca, Alessandro De; Guerra, Maristella; Cuomo, Roberto; Ribuffo, Diego; Neri, Alessandro; Marcasciano, Marco

doi:10.3390/curroncol29120737

Cited by 14 publications

(10 citation statements)

References 46 publications

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“…The patient returned for an early postoperative check one week later, showing good clinical conditions. Signs of ischemic suffering of both NACs were evident, while the inframammary wound was in a satisfactory state after an appropriate wound-care and management of NAC’s skin necrosis [ 36 , 37 , 38 , 39 , 40 ].…”

Section: Resultsmentioning

confidence: 99%

Erdheim–Chester Disease of the Breast: First Review and First Case of Isolated Severe Gynecomastia

et al. 2023

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(1) Introduction: Erdheim–Chester disease (ECD) is a life-threatening condition and often a diagnostic challenge. It has recently been classified as a hematopoietic tumour, and the cases of ECD reported in the literature has dramatically increased during the last 15 years. (2) Methods: We describe the case of a 57-year-old male patient with severe gynecomastia, with a detailed description of his diagnostic iter and consequent surgical operation. We provide the first systematic review of the literature of breast involvement in ECD, following PRISMA guidelines, including 13 studies and 16 patients. (3) Results: Our report resulted to be the first case of gynecomastia as a single clinical and imaging feature of ECD described in English literature. A total of 81.3% of patients included were female. Among them, 76.9% had unilateral and nodular presentation, while male patients presented bilateral heterogeneous breast enlargement. Globally, 87.5% expressed breast alterations as their first manifestations of ECD. Only 50% presented skeletal involvement. (4) Conclusion: The reported case represents a unique addition to the literature. We found two different patterns in ECD-related breast involvement between male and female patients, an unusual M/F ratio, and a lower rate of bone involvement. Breast involvement is frequently the first clinical feature; therefore, breast caregivers should be aware of this dangerous and most likely underestimated condition.

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Section: Resultsmentioning

confidence: 99%

Erdheim–Chester Disease of the Breast: First Review and First Case of Isolated Severe Gynecomastia

et al. 2023

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“…Casella et al showed that all BREAST-Q domains were higher in the immediate balancing group, but only satisfaction with the breast score was significantly higher in the immediate group than in the delayed group (P < 0.05). 20 Rancati et al found similar outcomes in both groups concerning BREAST-Q and SF-36 parameters, with no significant differences, except for psychosocial well-being, which was higher in the immediate group. 21 Laporta et al used a modified grading scale originally described by Cohen et al, with a high score for the general satisfaction subitems without a significant difference between the immediate and delayed groups.…”

Section: Satisfaction Levelmentioning

confidence: 89%

“…[23][24][25] Three studies did not mention the specific complications, and two did not mention the complication rate. [20][21][22]26,27 Four of five studies included immediate cases alone without comparisons with delayed symmetrization. Two studies did not report any major complications, 29,30 with only one case of complications (0.98%) in the third study.…”

Section: Complications Ratementioning

confidence: 99%

Immediate Symmetrization of the Contralateral Breast in Breast Reconstruction–Revision, Complications, and Satisfaction: A Systematic Review

AlQhtani

2024

Plastic and Reconstructive Surgery - Global Open

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Background: It is desirable to achieve breast symmetry after unilateral surgery for breast tumors. Thus, contralateral balancing is often required, but it is still debated whether symmetrization surgery should be performed alongside reconstruction or as a delayed procedure. Therefore, we aimed to compare revision rates, complication rates, and satisfaction levels between those who underwent immediate versus delayed symmetrization. Methods: A systematic review was designed to summarize the revision surgery rates, complication rates, and satisfaction levels of patients who underwent contralateral breast symmetrization at the same time as breast reconstruction. We included articles published between 2010 and 2022 in databases such as PubMed, MEDLINE, and Embase. Results: Most studies showed no difference or lower revision rates for immediate symmetrization, except for one study where immediate symmetrization had a revision rate twice that of delayed symmetrization. There were no significant differences in complication rates between the two groups. Regarding satisfaction levels, most studies showed that the immediate group had higher scores regardless of statistical significance; however, breast-related satisfaction was significantly higher in the immediate group than in the delayed group. Conclusion: This systematic review demonstrates that immediate symmetrization surgery does not increase revision surgery and complication rates or decrease satisfaction levels.

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“…Traditionally, implant placements include submuscular [83][84][85] and subglandular placement. 86,87 An epidemiological study reports CC incidence rates of 1.9% and 9.6%, respectively.…”

Section: Breast Implant Placementsmentioning

confidence: 99%

Advances on Capsular Contracture—Prevention and Management Strategies: A Narrative Review of the Literature

Susini,

Nisi,

Pierazzi

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: Capsular contracture (CC) is the most relevant complication of both aesthetic and reconstructive breast implant surgery. For many years, experimental and clinical trials have attempted to analyze CC risk factors, clinical features, and appropriate management strategies. It is commonly accepted that a multifactorial etiology promotes CC development. However, the heterogeneity in patients, implants and surgical techniques make it difficult to suitably compare or analyze specific factors. As a consequence, discordant data are present in literature, and a true systematic review is often limited in its conclusions. Hence, we decided to present a comprehensive review of current theories on prevention and management strategies, rather than a specific “solution” to this complication. Methods: The PubMed database was searched for literature regarding CC prevention and management strategies. Pertinent articles in English, published before December 1, 2022, were compared with selection criteria and eventually included in this review. Results: Through the initial search, 97 articles were identified, of which 38 were included in the final study. Several articles explored different medical and surgical preventive and therapeutic strategies, showing numerous controversies on appropriate CC management. Conclusions: This review provides a clear overview of the complexity of CC. The wide variety of clinical situations in term of patients, implants, and surgical techniques prevent the standardization of CC management strategies. By contrast, a patient-customized approach should be preferred, and different strategies should be considered depending on the specific case. Further research is desirable to better ascertain evidence-based protocols with regard to CC prevention and treatment.

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Controlateral Symmetrisation in SRM for Breast Cancer: Now or Then? Immediate versus Delayed Symmetrisation in a Two-Stage Breast Reconstruction

Cited by 14 publications

References 46 publications

Erdheim–Chester Disease of the Breast: First Review and First Case of Isolated Severe Gynecomastia

Erdheim–Chester Disease of the Breast: First Review and First Case of Isolated Severe Gynecomastia

Immediate Symmetrization of the Contralateral Breast in Breast Reconstruction–Revision, Complications, and Satisfaction: A Systematic Review

Advances on Capsular Contracture—Prevention and Management Strategies: A Narrative Review of the Literature

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