Feasibility of breast-conservation therapy and hypofractionated radiation in the setting of prior breast augmentation.

@article{Tadros2020FeasibilityOB,
  title={Feasibility of breast-conservation therapy and hypofractionated radiation in the setting of prior breast augmentation.},
  author={Audree B. Tadros and Tracy A. Moo and Emily C. Zabor and Erin F. Gillespie and Atif J. Khan and Beryl McCormick and Oren Cahlon and Simon N Powell and Robert J. Allen and Monica Morrow and Lior Z. Braunstein},
  journal={Practical radiation oncology},
  year={2020}
}
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Breast Conservation Therapy after Augmentation Mammaplasty: Is It Appropriate?
TLDR
In the experience, augmented breast cancer patients treated with breast conservation therapy have less satisfactory cosmetic results than nonaugmented women and may be less than optimal in augmented cancer patients unless explantation is performed before treatment.
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.
Capsular contracture after lumpectomy and radiation therapy in patients who have undergone uncomplicated bilateral augmentation mammoplasty.
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Lumpectomy and radiation therapy in patients with breast cancer who have previously undergone augmentation mammoplasty result in a high prevalence of capsular contracture and suboptimal cosmesis.
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TLDR
Ten years after treatment, accelerated, hypofractionated whole-breast irradiation was not inferior to standard radiation treatment in women who had undergone breast-conserving surgery for invasive breast cancer with clear surgical margins and negative axillary nodes.
Association of Radiotherapy Boost for Ductal Carcinoma In Situ With Local Control After Whole-Breast Radiotherapy
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It is suggested that a DCIS RT boost to the tumor bed could be considered to provide an added incremental benefit in decreasing IBTR after a shared discussion between the patient and her radiation oncologist.
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Lumpectomy followed by breast irradiation continues to be appropriate therapy for women with breast cancer, provided that the margins of resected specimens are free of tumor and an acceptable cosmetic result can be obtained.
Breast‐conserving surgery and radiation after augmentation mammoplasty
TLDR
This data indicates that postoperative radiation leads to capsular contractures and poor cosmesis in patients with breast implants, and breast‐conserving therapy for women with breast cancer yields survival and local recurrence rates comparable with those of modified radical mastectomy.
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