Breast Conservation Therapy after Augmentation Mammaplasty: Is It Appropriate?

@article{Handel1996BreastCT,
  title={Breast Conservation Therapy after Augmentation Mammaplasty: Is It Appropriate?},
  author={Neal Handel and Bernard S. Lewinsky and Arthur J. Jensen and Melvin J Silverstein},
  journal={Plastic and Reconstructive Surgery},
  year={1996},
  volume={98},
  pages={1216–1224}
}
&NA; Breast conservation therapy, consisting of lumpectomy, axillary node dissection, whole‐breast irradiation, and a boost to the tumor bed, is an increasingly popular option for the treatment of breast cancer. Among patients with stage I and stage II disease, breast conservation therapy yields survival rates equivalent to those for mastectomy. The cosmetic results of radiotherapy are usually good, and this approach preseryes an intact, sensate breast. Most studies on breast conservation… 
Breast Conservation Therapy After Augmentation Mammaplasty
TLDR
This chapter discusses lumpectomy, oncologic consultation with treatment alternatives, the effect of breast implants on mammography, theeffect of radiation on the rate of capsular contracture, lumpectome and radiation versus glandular replacement therapy, and breast conservation therapy in the augmented patient.
Breast Cancer after Augmentation Mammaplasty: Treatment by Skin‐Sparing Mastectomy and Immediate Reconstruction
TLDR
Skin‐sparing mastectomy and immediate reconstruction can be used in patients with prior breast augmentation, with good to excellent cosmetic results, depending on the tumor and implant location, the implant may be preserved without compromising local control.
Breast-conserving therapy can be offered to women with prior breast augmentation.
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Surgical Treatment of Breast Cancer in Previously Augmented Patients
TLDR
The data illustrate that breast conservation therapy with maintenance of the implant is not ideal for the majority of augmented patients, and mastectomy with immediate reconstruction might be a more suitable choice for these patients.
Breast Brachytherapy and Breast Augmentation: Breast Conservation without Capsular Contracture
TLDR
Catheter insertion techniques that reliably cover the target volume while preventing inadvertent implant puncture are described and breast brachy may become the breast-conserving treatment of choice for breast cancer patients with augmentation.
Reduction mammaplasty in the previously radiated breast: is it safe and does it interfere oncologically?
TLDR
It is strongly believed that surgery should be delayed until resolution of the early signs of radiotherapy, and if surgical steps are performed delicately on appropriately selected patients, reduction mammaplasty can be accomplished safely.
Diagnosis, Treatment, and Management of Breast Cancer in Previously Augmented Women
TLDR
A retrospective review of the diagnosis, treatment, and follow-up of 12 augmented patients from 1998 to 2004 who developed breast cancer suggests a tendency toward delayed diagnosis in augmented women relative to age‐matched controls, but this did not appear to influence the overall prognosis.
Single Institution Review of Patients With Prior Breast Augmentation Undergoing Breast Conservation Therapy for Breast Cancer
TLDR
The results indicate that, from the oncological standpoint, patients with prior augmentation can undergo lumpectomy with equivalent tumor margins and re-excision rates.
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References

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TLDR
It seems feasible to conserve the breast and the augmentation with limited surgical resection and radiation therapy, including an immediate interstitial boost.
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TLDR
Electron beams, with their finite penetration and rapid fall-off, offer a mode of adequately treating the recurrence and minimizing the radiation to the underlying normal structures, such as the lung and the heart, in women with breast cancer.
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TLDR
Most patients had some degree of parenchymal scarring and lower image quality after augmentation, and state‐of‐the‐art mammography was not possible in most patients whose breasts were augmented with silicone‐gel–filled implants.
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TLDR
Closed compression capsulotomy will relieve most capsule contractures following augmentation mammaplasty; however, multiple closed capsulotomies may be required to maintain soft breasts, and the patient may require surgical Capsulotomy.
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TLDR
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