Current options in breast reconstruction with or without radiotherapy

Abstract

Purpose of review: A brief overview of the current options in breast reconstruction with special consideration given to the effect of radiotherapy is presented.

Recent findings: Breast reconstruction is an important part of the overall care of mastectomy patients. Studies have demonstrated improved psychological well being, better quality of life, and most recently increased survival in women who have undergone breast reconstruction. Advancements such as nipple and skin sparing mastectomies, acellular dermal matrix, and improved implant technology have improved the results of implant-based breast reconstruction. The development of perforator flaps has further minimized donor-site morbidity with autologous tissue breast reconstruction. Despite much progress, difficulties remain in the management of patients with locally advanced breast cancer who will require radiation.

Summary: Informed physician counseling of current breast reconstruction options is an integral part of the overall care of patients undergoing mastectomy. Special consideration needs to be made for patients with locally advanced breast cancer who require radiotherapy.