Lopez M.A.,Institute DOncologia Radioterapica |
Madrona A.P.,Hospital Universitario Virgen Of La Arrixaca |
Ramos J.S.,Hospital Santa Lucia |
Bajo G.G.,Hospital General Universitario
Revista de Senologia y Patologia Mamaria | Year: 2013
Currently, conservative surgery is the standard management in breast cancer. However, in 15-35% of patients, mastectomy should be offered. Until recently, if these patients needed radiotherapy, the option of reconstruction was delayed or even rejected. Current technical advances allow both reconstruction and irradiation to be offered. This article reviews the different types of reconstructive surgery and their relationship with irradiation, including immediate heterologous reconstruction techniques, definitive prostheses, tissue expanders, delayed reconstruction with heterologous and/or autologous techniques, nipple-areola complex reconstruction, and lipofilling. We review the complications of combining radiotherapy and reconstructive surgery, and establish practical recommendations. © 2012 SESPM. Published by Elsevier España, S.L. All rights reserved.