Mastectomy and reconstruction in stage IV breast cancer: A survey of UK breast and plastic surgeons

Abstract The number of women with stage IV disease who have breast reconstruction is small. The primary aim of this study was to examine opinions as to the appropriateness of breast reconstruction in this group. The Association of Breast Surgeons (ABS) and the British Association of Plastic Reconstr...

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Bibliographic Details
Published in:Breast (Edinburgh) 2011-08, Vol.20 (4), p.373-379
Main Authors: Durrant, C.A.T, Khatib, M, MacNeill, F, James, S, Harris, P
Format: Article
Language:English
Subjects:
Attitude of Health Personnel
Breast cancer
Breast Implants
Breast Neoplasms - pathology
Breast Neoplasms - surgery
Esthetics
Female
Hematology, Oncology and Palliative Medicine
Humans
Mammaplasty - statistics & numerical data
Mastectomy
Metastatic
Neoplasm Staging
Patient Satisfaction
Practice Patterns, Physicians' - statistics & numerical data
Quality of Life
Reconstruction
Referral and Consultation - statistics & numerical data
Stage IV
Surgical Flaps
Surveys and Questionnaires
United Kingdom
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Summary:Abstract The number of women with stage IV disease who have breast reconstruction is small. The primary aim of this study was to examine opinions as to the appropriateness of breast reconstruction in this group. The Association of Breast Surgeons (ABS) and the British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) were invited to take part in an online survey. Of the respondents, 78.7% would operate on the primary tumour. Plastic surgeons showed a propensity for immediate reconstruction compared to their breast surgery colleagues, and 26.3% of breast surgeons would not offer reconstruction at all. Immediate latissimus dorsi (LD) flap and implant were the favoured method in early stage disease with delayed LD and implant the most popular option for stage IV disease. As survival figures continue to improve, the number of patients requesting reconstruction is likely to increase. Further debate will be necessary in anticipation of future service development.
ISSN:0960-9776
1532-3080
DOI:10.1016/j.breast.2011.02.010