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Oncological aspect of immediate breast reconstruction in mastectomy patients
Author(s) -
Noguchi Masakuni,
Fukushima Wataru,
Ohta Nagayoshi,
Koyasaki Naohiro,
Thomas Michael,
Miyazaki Itsuo,
Yamada Tetsuji,
Nakagawa Masaaki
Publication year - 1992
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930500409
Subject(s) - medicine , breast reconstruction , mastectomy , breast cancer , surgery , univariate analysis , lymph node , multivariate analysis , cancer
In this study, we compared the relapse‐free and overall survival of 83 patients who underwent mastectomy with immediate reconstruction (MIBR) using a musculocutaneous flap with or without silicone implant with those of 153 patients with breast cancer who underwent mastectomy without immediate reconstruction. In univariate analysis, the overall and/or relapse‐free survival of reconstructed patients with four or more positive axillary lymph nodes or those with menopausal status were significantly inferior compared with those of nonreconstructed patients. In multivariate analysis, however, the immediate breast reconstruction did not appear to have a significant adverse influence on all patients, and on the subgroups stratified by menopausal status or axillary lymph node metastases. Therefore, it was concluded that MIBR using a musculocutaneous flap did not compromise the survival of patients with breast cancer. © 1992 Wiley‐Liss, Inc.