Immediate expander/implant breast reconstruction followed by post-mastectomy radiotherapy for breast cancer: Aesthetic, surgical, satisfaction and quality of life outcomes in women with high-risk breast cancer
Immediate expander/implant breast reconstruction followed by post-mastectomy radiotherapy for breast cancer: Aesthetic, surgical, satisfaction and quality of life outcomes in women with high-risk breast cancer
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DOI：
10.1016/j.breast.2016.08.008
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发表时间：
2016-12-01
期刊：
影响因子：
3.9
通讯作者：
Spillane, Andrew J.
中科院分区：
文献类型：
--
作者：
Brennan, Meagan E.;Flitcroft, Kathy;Spillane, Andrew J.
背景：当计划进行乳房切除术后放射治疗（PMRT）时，由于担心并发症发生率高和美观效果差，通常避免立即组织扩张器/假体乳房重建（BR）。本研究评估了接受即刻植入式BR （IIBR）和PMRT的女性的手术、美学和生活质量（QoL）结果。方法：参与者在完成BR最后阶段后至少6个月被招募。他们完成了有效的在线问卷，评估满意度、生活质量、痛苦、身体形象和后悔。审美结果由手术医生通过临床检查评定，并由独立外科医生使用照片进行评估。结果：47名参与者完成了问卷调查，并报告了良好的生活质量（FACT B = 115; TOI = 73），满意度（Breast-Q），痛苦（事件影响量表）
Background: Immediate tissue expander/implant-based breast reconstruction (BR) is often avoided when post-mastectomy radiotherapy (PMRT) is planned due to concerns about high complication rates and poor aesthetic outcomes. This study evaluated surgical, aesthetic and quality of life (QoL) outcomes in women undergoing immediate implant-based BR (IIBR) followed by PMRT.Methods: Participants were recruited at least six months after completing the final stage of BR. They completed validated on-line questionnaires assessing satisfaction, QoL, distress, body image and regret. Aesthetic outcomes were rated by their operating surgeon through clinical examination and assessed by an independent surgeon using photographs.Results: Forty-seven participants completed questionnaires and reported good outcomes for QoL (FACT B = 115; TOI = 73), satisfaction (Breast-Q), distress (Impact of Events scale