Surgical Treatment of Breast Cancer in Previously Augmented Patients

  title={Surgical Treatment of Breast Cancer in Previously Augmented Patients},
  author={Yvonne Karanas and Darren Leong and Andrew L. Da Lio and Kathleen Waldron and James P. Watson and Helena R. Chang and William W. Shaw},
  journal={Plastic and Reconstructive Surgery},
&NA; The incidence of breast cancer is increasing each year. Concomitantly, cosmetic breast augmentation has become the second most often performed cosmetic surgical procedure. As the augmented patient population ages, an increasing number of breast cancer cases among previously augmented women can be anticipated. The surgical treatment of these patients is controversial, with several questions remaining unanswered. Is breast conservation therapy feasible in this patient population and can… 
Diagnosis, Treatment, and Management of Breast Cancer in Previously Augmented Women
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
The results indicate that, from the oncological standpoint, patients with prior augmentation can undergo lumpectomy with equivalent tumor margins and re-excision rates.
Breast-conserving therapy can be offered to women with prior breast augmentation.
  • D. Lesniak, Jenny-Claude Millochau, K. Clough
  • Medicine
    European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
  • 2020
Implant-based immediate breast reconstruction in the previously augmented patient.
Complications and Recurrence in Implant-Sparing Oncologic Breast Surgery
Patients with prior breast augmentation undergoing mastectomy have higher complication rates compared with lumpectomy even after adjusting for tumor stage, and there appears to be no increased oncologic risk associated with either procedure given the current follow-up.
Beauty and the Beast: Management of Breast Cancer After Plastic Surgery
Plastic surgery does not significantly affect breast cancer outcomes but does present management challenges that must be anticipated when deciding various treatment options.
Breast Conservation Therapy After Augmentation Mammaplasty
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.
The Effect of Silicone Implants on the Diagnosis, Prognosis, and Treatment of Breast Cancer
  • N. Handel
  • Medicine
    Plastic and reconstructive surgery
  • 2007
Despite the diminished sensitivity of mammography in women with implants, augmented and nonaugmented patients are diagnosed at a similar stage of disease and have a comparable prognosis.
A Review of the Oncologic and Surgical Management of Breast Cancer in the Augmented Breast: Diagnostic, Surgical and Surveillance Challenges
An evidence-based summary of recommendations has been produced to guide breast surgeons in managing this particular group of patients and a series of case studies is presented to illustrate mammographic changes and cosmetic outcomes in augmented breasts that have required treatment for breast cancer.


Breast Conservation Therapy after Augmentation Mammaplasty: Is It Appropriate?
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.
Conservation Therapy for Breast Cancer Following Augmentation Mammaplasty
It is concluded that irradiation of the breast for cancer in augmented women results in a high incidence of scar-tissue contracture and poor cosmetic results.
Radiation therapy of cancer in prosthetically augmented or reconstructed breasts.
Patients who develop primary or recurrent breast cancer in prosthetically augmented or reconstructed breasts can be offered radical radiation therapy, with satisfactory tumor control and aesthetic results.
Radiation therapy after breast augmentation or reconstruction in early or recurrent breast cancer
Conservative management should be offered as an option to patients who are interested in breast prosthesis conservation when breast carcinoma arises in the augmented or reconstructed breast, without compromising the therapy or the cosmetic result.
Staged Breast Reconstruction with Saline-Filled Implants in the Irradiated Breast: Recent Trends and Therapeutic Implications
A retrospective review was performed of one surgeon’s experience with 40 consecutive patients who had undergone two-stage saline-filled implant breast reconstruction and radiation during the period from 1990 through 1997, finding the possibility for radiation should be thoroughly investigated and anticipated preoperatively before immediate breast reconstruction.
Radiation Therapy after Immediate Breast Reconstruction with Implants
The effects of radiotherapy on breast implants with regard to the final cosmetic result after adjuvant radiotherapy is discussed, demonstrating a significant difference between the two groups in terms of capsular contracture and breast symmetry.
Reconstruction and the radiated breast: is there a role for implants?
Results showed that irradiation has significant negative effects on the reconstructive outcome with implants and autogenous reconstruction did not appear to offer a protective role when placed over implants.
Breast Cancer After Augmentation Mammoplasty
Although there have been significant improvements in the ability to diagnose early breast cancer over the past two decades, mammography continues to be suboptimal in augmented women.
Eight-year results of a randomized clinical trial comparing total mastectomy and lumpectomy with or without irradiation in the treatment of breast cancer.
The observations through eight years are consistent with the findings at five years and that these new findings continue to support the use of lumpectomy in patients with Stage I or II breast cancer, and it is concluded that irradiation reduces the probability of local recurrence of tumor in patients treated with Lumpectomy.