Impact of hormonal therapy and other adjuvant therapies on contralateral breast volume change after implant-based breast reconstruction

Park, Jung Youl; Chung, Jae Ho; Lee, Hyung Chul; Lee, Byung Il; Park, Seung Ha; Yoon, Eul Sik

doi:10.5999/aps.2018.00563

Cited by 3 publications

(5 citation statements)

References 30 publications

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“…Skin-sparing mastectomy (SSM) or nipple-sparing mastectomy (NSM) were performed based on oncological considerations. Before surgery, shape and volumetric analysis of the breast, perioperative conditions such as radiotherapy, and patient preferences were considered to determine which type of reconstruction should be used, autologous or implant reconstruction 5 . In cases of reconstruction using an implant, skin flap condition was judged by considering clinical conditions such as mastectomy flap thickness, color, and indocyanine green angiography, which was performed immediately after mastectomy.…”

Section: Methodsmentioning

confidence: 99%

“…Before surgery, shape and volumetric analysis of the breast, perioperative conditions such as radiotherapy, and patient preferences were considered to determine which type of reconstruction should be used, autologous or implant reconstruction. 5 In cases of reconstruction using an implant, skin flap condition was judged by considering clinical conditions such as mastectomy flap thickness, color, and indocyanine green angiography, which was performed immediately after mastectomy. If the circulation of the skin flap after surgery was considered favorable and the nipple-areolar complex (NAC) was preserved, prepectoral DTI was conducted.…”

Section: Subjectsmentioning

confidence: 99%

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A Comparative Study of Breast Sensibility and Patient Satisfaction After Breast Reconstruction

Hwang

Lee²,

Park³

et al. 2022

Ann Plast Surg

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Background: Currently, a variety of treatment modalities are implemented for breast reconstruction. However, clinical prognosis regarding sensory regeneration of the breast and patient-reported satisfaction remains underexamined. In this study, we aimed to compare breast sensibility after various reconstruction. Methods: We conducted a retrospective comparative study of all patients who underwent breast reconstruction between August 2016 and October 2019 at our institution. Acellular dermal matrixes were used to cover the implant inferolaterally in a dual-plane subpectoral approach and to wrap the implant in prepectoral direct to implant (DTI). The cutaneous tactile pressure threshold and patient satisfaction outcome were tested. Results: A total of 105 breasts were assessed, 30 breasts reconstructed with deep inferior epigastric perforator (DIEP) flap, 40 breasts reconstructed with 2-stage subpectoral implant, and 35 breasts reconstructed with prepectoral DTI. In the specific group-to-group analysis, DIEP and implant groups showed significant differences in sensory recovery, mainly in lateral areas of the reconstructed breast. In 2-stage reconstruction and DTI groups, there were no statistically significant differences. When comparing patient groups using only patients with follow-up lengths of more than 12 months, the difference was more clearly indicated ( P = 0.049). Better sensory recovery predicted high satisfaction scores in patient-reported outcomes ( P = 0.007). Conclusions: We found that subpectoral implant reconstruction and DTI show no statistically significant differences in sensory recovery, and autologous DIEP flap reconstruction results in a better prognosis than prosthesis implant reconstruction. Furthermore, the clarity of the differences increased when the followup length was longer than 12 months. Better patient-reported satisfaction was associated with good breast sensibility.

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Section: Methodsmentioning

confidence: 99%

Section: Subjectsmentioning

confidence: 99%

A Comparative Study of Breast Sensibility and Patient Satisfaction After Breast Reconstruction

Hwang

Lee²,

Park³

et al. 2022

Ann Plast Surg

Self Cite

View full text Add to dashboard Cite

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“…These findings might occur from a decrease in volume of the contralateral healthy breast through a reduction of the breast parenchyma in patients who received adjuvant hormone therapy. 28…”

Section: Discussionmentioning

confidence: 99%

“…These findings might occur from a decrease in volume of the contralateral healthy breast through a reduction of the breast parenchyma in patients who received adjuvant hormone therapy. 28 The reconstructed breast volume ratio increased over time in the case of the delayed reconstruction. The volume ratio of the reconstructed breast significant increased by 0.4 % (coefficient = 0.004) over one month after surgery (p = 0.043).…”

Section: Accepted Manuscriptmentioning

confidence: 96%

Three-dimensional Volume Changes of the Reconstructed Breast Following DIEP Flap Breast Reconstruction

Lee

Park

et al. 2022

J Reconstr Microsurg

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Background This study aimed to assess whether the reconstructed breast volume changed postoperatively following a deep inferior epigastric artery perforator (DIEP) flap. Methods Patients were included if they had undergone unilateral breast reconstruction with a DIEP flap at the two selected centers between April 2017 and September 2019. Serial 3-D surface imaging of both breasts was taken at 1, 3, 6, and 12 months postoperatively. The primary outcome was a volume ratio of the reconstructed to the contralateral breast. A linear mixed-effect model was used to evaluate whether the DIEP flap volume changed according to the postoperative time. Results A total of 74 patients were included in the analysis. The mean volume ratio of the reconstructed side compared to the contralateral breast at 1, 3, 6, and 12 months postoperatively were 106.9 %, 105.9 %, 108.7 %, and 107.6 %, respectively. In the linear mixed effect model, the volume ratio of the reconstructed breast did not change over time for immediate reconstructions (p = 0.376). However, there was an increase over time in delayed reconstructions (p = 0.043). Adjuvant radiation, chemotherapy, and hormone therapy did not influence the volume ratio of the reconstruced breast. Correlation analysis using repeatedly measured values showed that both reconstruced and healthy breast volumes had positive correlation with the patient’s body weight (p < 0.001). On the other hand, volume ratio of the breasts was not influenced by the patient’s body weight (p = 0.493). The volume ratio of the reconstructed breast significantly decreased in the upper inner (p = 0.003) and the upper outer (p = 0.006) quadrants, while increasing in the lower outer (p = 0.002) quadrant throughout the first-year postoperative period. Conclusion The volume ratio of the reconstructed to the contralateral breast does not decrease postoperatively following DIEP flap breast reconstruction.

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“…2 In Western medicine, the treatments available for breast cancer are surgery, such as reconstructive surgery, mammoplasty, radical mastectomy, etc; after surgery, if necessary, radiotherapy treatments; and drugs such as estrogen modulator, chemotherapy, hormonal chemotherapy, etc. 3 This article was written following Hippocrates thoughts that said "it is important to consider other ancient medical traditions prior to the knowledge we have nowadays" and for this reason, the author will combine traditional Chinese medicine reasoning with what we have nowadays regarding Western medicine´s point of view to show different perspectives regarding breast cancer genesis. 4…”

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confidence: 99%

Chakras’ and energies deficiencies in the geneses of breast cancer

Ling¹

2021

OGIJ

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Introduction: Breast cancer is the most common cancer-affecting women worldwide. Western current perspectives are starting to comprehend cancer as a systemic disease from the start. In TCM, the formation of cancer is associated energy deficiencies with Heat retention. Spleen deficiency is one of the major causes of formation of Phlegm leading to the formation of tumors. There are studies associating the five elements in TCM with chakras’ energy centers and measuring the chakra, the author will be measuring the internal massive organs energy. Purpose: To demonstrate that there is chakras’ energy deficiencies chronically present in the body of the patient with breast cancer. Also, to analyze the importance of treating the subject systemically, through the replenishment of chakras’ energy centers. Methods: two cases report, both were female patients (42 and 56years old), with the diagnosis stress and anxiety in the first and the second with diagnosis of sub retinal fluid retention, both patients with past history of breast cancer twenty and six years ago, removed with surgery. Chakras’ energy measurement through radiesthesia procedure was done. Results: all the chakras were in the lowest level of energy, rated in one out of eight. Conclusion: patients with history of breast cancer have chakras’ energy centers deficient in energy and the replenishment of these chakras is the major importance to prevent future formation of metastasis, new cancer in other sites or the formation of any chronic diseases.

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Impact of hormonal therapy and other adjuvant therapies on contralateral breast volume change after implant-based breast reconstruction

Cited by 3 publications

References 30 publications

A Comparative Study of Breast Sensibility and Patient Satisfaction After Breast Reconstruction

A Comparative Study of Breast Sensibility and Patient Satisfaction After Breast Reconstruction

Three-dimensional Volume Changes of the Reconstructed Breast Following DIEP Flap Breast Reconstruction

Chakras’ and energies deficiencies in the geneses of breast cancer

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