Skip to main content
Top
Published in: European Journal of Plastic Surgery 5/2015

01-10-2015 | Case Report

Immediate microsurgical breast reconstruction in pregnant breast cancer patients

Authors: Marcos Martín Díaz, Antonio Jesús Díaz Gutiérrez, Israel Iglesias, Ignacio Capdevila, José M. Pedraza, Luis Eduardo Parra, Javier Palazón, Emilio José Lagarón, José Manuel Hernández, María Luisa Arroyo

Published in: European Journal of Plastic Surgery | Issue 5/2015

Login to get access

Abstract

Pregnancy-associated breast cancer (PABC) is defined as breast cancer occurring anytime during gestation, lactation or within 1 year after delivery. Breast reconstruction is considered an essential component in managing breast cancer patients, and immediate reconstruction provides superior esthetic outcome and better patient satisfaction. There are no sufficient reports on the feasibility of immediate breast reconstruction in patients during the course of gestation and no studies have been published using microsurgery breast reconstruction in PABC. We report three cases of immediate microsurgery breast reconstruction in pregnant cancer patient. We consider two distinct subsets in breast reconstruction in PABC: “pregnancy” and “after delivery.” Pregnant breast cancer patients can be considered for immediate microsurgical breast reconstruction with optimal treatment through multidisciplinary management.
Level of Evidence: Level V, therapeutic study
Literature
1.
go back to reference Viswanathan S, Ramaswamy B (2011) Pregnancy-associated breast cancer. Clin Obstet Gynecol 54(4):546–555CrossRefPubMed Viswanathan S, Ramaswamy B (2011) Pregnancy-associated breast cancer. Clin Obstet Gynecol 54(4):546–555CrossRefPubMed
2.
go back to reference Petit JY, Rietjens M, Lohsiriwat V, Rey P, Garusi C, De Lorenzi F et al (2012) Update on breast reconstruction techniques and indications. World J Surg 36:1486–97CrossRefPubMed Petit JY, Rietjens M, Lohsiriwat V, Rey P, Garusi C, De Lorenzi F et al (2012) Update on breast reconstruction techniques and indications. World J Surg 36:1486–97CrossRefPubMed
3.
go back to reference Amant F, Deckers S, Van Calsteren K et al (2010) Brest cancer in pregnancy: recommendations of an international consensus meeting. Eur J Cancer 46(18):3158–68CrossRefPubMed Amant F, Deckers S, Van Calsteren K et al (2010) Brest cancer in pregnancy: recommendations of an international consensus meeting. Eur J Cancer 46(18):3158–68CrossRefPubMed
5.
go back to reference Bezuhly M, Temple C, Sigurdson LJ et al (2009) Immediate postmastectomy reconstruction is associated with improved breast cancer-specific survival: evidence and new challenges from the Surveillance, Epidemiology, and End Results database. Cancer 115:4648–4654CrossRefPubMed Bezuhly M, Temple C, Sigurdson LJ et al (2009) Immediate postmastectomy reconstruction is associated with improved breast cancer-specific survival: evidence and new challenges from the Surveillance, Epidemiology, and End Results database. Cancer 115:4648–4654CrossRefPubMed
6.
go back to reference Patel KM, Basci D, Nahabedian MY (2013) Multiple pregnancies following deep inferior epigastric perforator (DIEP) flap breast reconstruction. J Plast Reconstr Aesthet Surg 66:434–436CrossRefPubMed Patel KM, Basci D, Nahabedian MY (2013) Multiple pregnancies following deep inferior epigastric perforator (DIEP) flap breast reconstruction. J Plast Reconstr Aesthet Surg 66:434–436CrossRefPubMed
7.
go back to reference Arruda EG, Munhoz AM, Montag E, Filassi JR, Gemperli R (2014) Immediate chest wall reconstruction during pregnancy: surgical management after extended surgical resection due to primary sarcoma of the breast. J Plast Reconstr Aesthet Surg 67(1):115–8CrossRefPubMed Arruda EG, Munhoz AM, Montag E, Filassi JR, Gemperli R (2014) Immediate chest wall reconstruction during pregnancy: surgical management after extended surgical resection due to primary sarcoma of the breast. J Plast Reconstr Aesthet Surg 67(1):115–8CrossRefPubMed
8.
9.
go back to reference Lohsiriwat V, Peccatori FA, Martella S et al (2013) Immediate breast reconstruction with expander in pregnant breast cancer patients. Breast 22(5):657–60CrossRefPubMed Lohsiriwat V, Peccatori FA, Martella S et al (2013) Immediate breast reconstruction with expander in pregnant breast cancer patients. Breast 22(5):657–60CrossRefPubMed
10.
go back to reference Evans SR, Sarani B, Bhanot P, Feldman E (2012) Surgery in pregnancy. Curr Probl Surg 49(6):333–88CrossRefPubMed Evans SR, Sarani B, Bhanot P, Feldman E (2012) Surgery in pregnancy. Curr Probl Surg 49(6):333–88CrossRefPubMed
Metadata
Title
Immediate microsurgical breast reconstruction in pregnant breast cancer patients
Authors
Marcos Martín Díaz
Antonio Jesús Díaz Gutiérrez
Israel Iglesias
Ignacio Capdevila
José M. Pedraza
Luis Eduardo Parra
Javier Palazón
Emilio José Lagarón
José Manuel Hernández
María Luisa Arroyo
Publication date
01-10-2015
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Plastic Surgery / Issue 5/2015
Print ISSN: 0930-343X
Electronic ISSN: 1435-0130
DOI
https://doi.org/10.1007/s00238-015-1102-5

Other articles of this Issue 5/2015

European Journal of Plastic Surgery 5/2015 Go to the issue