A multidisciplinary view of mastectomy and breast reconstruction: Understanding the challenges

Orit Kaidar-Person*, Birgitte V. Offersen, Liesbeth J. Boersma, Dirk de Ruysscher, Trine Tramm, Thorsten Kühn, Oreste Gentilini, Zoltán Mátrai, Philip Poortmans

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

39 Scopus citations

Abstract

The current review paper was written in collaboration with breast cancer surgeons from the European Breast Cancer Research Association of Surgical Trialists (EUBREAST), a breast pathologist from the Danish Breast Cancer Group (DBCG), and representatives from the European SocieTy for Radiotherapy & Oncology (ESTRO) breast cancer course. Herein we summarize the different mastectomies and reconstruction procedures and define high-risk anatomical areas for breast cancer recurrences, to further specify the challenges in the surgical procedure, histopathological evaluation, and target volumes in case of postmastectomy irradiation, as recommended by the ESTRO guidelines according to the surgical procedure. The paper has original figures and illustrations for all disciplines for in-depth understanding of the differences between the procedures.

Original languageEnglish
Pages (from-to)42-52
Number of pages11
JournalBreast
Volume56
DOIs
StatePublished - Apr 2021

Keywords

  • Breast cancer
  • Mastectomy
  • Nipple sparing
  • Radiation
  • Reconstruction
  • Skin sparing

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