Open AccessEffect of internal mammary vessels radiation dose on outcomes of free flap breast reconstruction
Author(s) -
KaidarPerson Orit,
Eblan Michael J.,
Caster Joseph M.,
Shah Amita R.,
Fried David,
Marks Lawrence B.,
Lee Clara N.,
Jones Ellen L.
Publication year - 2019
Publication title -
the breast journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.533
H-Index - 72
eISSN - 1524-4741
pISSN - 1075-122X
DOI - 10.1111/tbj.13202
Subject(s) - medicine , fat necrosis , breast reconstruction , radiation therapy , breast cancer , mastectomy , surgery , free flap , necrosis , mammary gland , radiology , cancer
To assess the impact of internal mammary (IM) vessels radiation dose on autologous free‐flap based breast reconstruction outcomes. We retrospectively evaluated the medical records of breast cancer patients who underwent mastectomy and free‐flap breast reconstruction after postoperative radiation therapy (RT) to the breast/chest wall with (n = 9) or without (n = 11) electively including the IM lymph nodes. Twenty patients were included. Median age at diagnosis was 50 years (range, 33‐63). The median time interval between the start of RT and reconstructive surgery was 16 months (range, 6‐45). The maximal IM vessels dose was not associated with the risk of all complications ( P = 0.44) or fat necrosis ( P = 0.31). The mean IM vessels dose was not significant for the risk of all complications ( P = 0.13) but was significant for fat necrosis ( P = 0.04). A high mean IM vessels dose was related to the occurrence of fat necrosis.