Ipsilateral breast cancer recurrence after Deep Inferior Epigastric Perforator (DIEP) flap reconstruction: Incidence and radiological presentation - 10/02/16

Doi : 10.1016/j.diii.2015.06.021

J.A. Farras Roca ^a, T.H. Dao ^a, L. Lantieri ^b, C. Lepage ^b, R. Bosc ^c, E. Meyblum ^a, F. Pigneur ^a, P. Beaussart ^a, E. Assaf ^d, J.L. Totobenazara ^e, E. Calitchi ^f, Y. Belkacemi ^f,^g, A. Rahmouni ^a,^g, A. Luciani ^a,^g,^⁎
^a Service d’imagerie médicale, groupe Henri-Mondor–Albert-Chenevier, centre sein Henri-Mondor, AP–HP, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France
^b Service de chirurgie plastique et reconstructrice, hôpital européen Georges-Pompidou, AP–HP, 20, rue Leblanc, 75015 Paris, France
^c Service de chirurgie plastique et reconstructrice, groupe Henri-Mondor–Albert-Chenevier, centre sein Henri-Mondor, AP–HP, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France
^d Service d’oncologie médicale, groupe Henri-Mondor–Albert-Chenevier, centre sein Henri-Mondor, AP–HP, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France
^e Service d’anatomo-pathologie, groupe Henri-Mondor–Albert-Chenevier, centre sein Henri-Mondor, AP–HP, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France
^f Service de radiothérapie, groupe Henri-Mondor–Albert-Chenevier, centre sein Henri-Mondor, AP–HP, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France
^g Faculté de médecine, université Paris Est, Créteil, France

^⁎Corresponding author at: Service d’imagerie médicale, groupe Henri-Mondor–Albert-Chenevier, centre sein Henri-Mondor, AP–HP, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010, Créteil cedex, France.

connettersi o creare un account

Benvenuto su EM|consulte, il riferimento dei professionisti della salute.
Articolo gratuito.

Si connetta per beneficiarne

Abstract

Purpose

To assess the incidence and presentation of ipsilateral cancer recurrences (ICR) after deep inferior epigastric perforator (DIEP) flap reconstruction for breast cancer.

Patients and methods

Data of 247 consecutive women with DIEP flap reconstruction after breast cancer in our institution between 1997 and 2009 were retrospectively reviewed.

Results

Mean follow-up time was 4.1years±3.2 (SD) (median: 3years; range: 1month – 14years). Thirty-one patients (12.5%, 95%CI: =8.7–17.3) presented 34 relapses, in average 4.1years±2.6 after mastectomy: 14 (41%) were ipsilateral, 6 (18%) contralateral and 14 (41%) metastatic. ICRs occurred earlier (3.9 vs. 5.8years; P<0.05) than non-ICRs. Most ICRs (10/14, 71%) involved the periphery of the flap and presented as palpable nodules. The remaining (4/14, 29%) involved the axilla and 3/4 (75%) were palpable. Imaging procedures detected infra-clinical ICRs in 3 of 10 imaged patients (30%).

Conclusion

ICRs after DIEP flap reconstruction are more frequent than contralateral recurrences suggesting the need for imaging follow-up of the reconstructed breast.

Il testo completo di questo articolo è disponibile in PDF.

Keywords : Deep inferior epigastric perforator (DIEP) flap, Breast cancer recurrence, Breast imaging, Follow-up, Breast reconstruction

Abbreviations : DIEP, ICR, TRAM, INCa, SBR, 18FDG-PET-CT scan, DCE-MRI, MIP

Mappa

Breast cancer recurrences

Disclosure of interest

Esportazione

Vol 97 - N° 2

P. 203-209 - Febbraio 2016 Ritorno al numero

Articolo precedente

The short- and long-term effectiveness of transcatheter arterial embolization in patients with intractable hematuria
M. Korkmaz, B. ?anal, B. Aras, H. Bozkaya, C. Ç?nar, S. Güneyli, M. Gök, G. Adam, F. Düzgün, ?. Oran

| Articolo seguente

Academic productivity of French radiology residents: Where do we stand?
G. Chassagnon, V. Dangouloff-Ros, V. Vilgrain, M. Ronot

Benvenuto su EM|consulte, il riferimento dei professionisti della salute.

connettersi o creare un account

Ipsilateral breast cancer recurrence after Deep Inferior Epigastric Perforator (DIEP) flap reconstruction: Incidence and radiological presentation - 10/02/16

Abstract

Purpose

Patients and methods

Results

Conclusion

Mappa

Citazioni Export

File

Contenuto

Il mio account

Aide & support

Dichiarazione CNIL