TY - JOUR
T1 - The effects of neoadjuvant and adjuvant chemotherapy on the surgical outcomes of breast reconstruction
AU - Oh, Eugene
AU - Chim, Harvey
AU - Soltanian, Hooman T.
N1 - Funding Information:
E.O. is supported by a National Institutes of Health National Research Service Award (F30 MH084371) and Medical Scientist Training Program Training Grant (T32 GM007250).
PY - 2012/10
Y1 - 2012/10
N2 - Breast reconstruction following mastectomy has become, in many centers the standard of care. An increasingly encountered trend is the use of neoadjuvant chemotherapy to downstage high stage tumors and to decrease tumor burden prior to definitive oncologic surgery. These agents clearly provide a survival benefit, but also have the potential to adversely affect the surgical course of immediate and delayed breast reconstruction. The use of new biologic and hormonal agents may also have effects on surgery and reconstruction. Furthermore, chemotherapeutic agents as a whole may impair cellular functions necessary for normal recovery from surgery. In this paper we present a concise review for the reconstructive surgeon on adverse effects of chemotherapeutic, hormonal and biologic agents used for treatment of breast cancer, important perioperative issues, and also discuss their potential effect on breast reconstruction.
AB - Breast reconstruction following mastectomy has become, in many centers the standard of care. An increasingly encountered trend is the use of neoadjuvant chemotherapy to downstage high stage tumors and to decrease tumor burden prior to definitive oncologic surgery. These agents clearly provide a survival benefit, but also have the potential to adversely affect the surgical course of immediate and delayed breast reconstruction. The use of new biologic and hormonal agents may also have effects on surgery and reconstruction. Furthermore, chemotherapeutic agents as a whole may impair cellular functions necessary for normal recovery from surgery. In this paper we present a concise review for the reconstructive surgeon on adverse effects of chemotherapeutic, hormonal and biologic agents used for treatment of breast cancer, important perioperative issues, and also discuss their potential effect on breast reconstruction.
KW - Biologic
KW - Breast cancer
KW - Breast reconstruction
KW - Chemotherapy
KW - Hormonal
UR - http://www.scopus.com/inward/record.url?scp=84866348818&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84866348818&partnerID=8YFLogxK
U2 - 10.1016/j.bjps.2012.04.053
DO - 10.1016/j.bjps.2012.04.053
M3 - Review article
C2 - 22633392
AN - SCOPUS:84866348818
SN - 1748-6815
VL - 65
SP - e267-e280
JO - Journal of Plastic, Reconstructive and Aesthetic Surgery
JF - Journal of Plastic, Reconstructive and Aesthetic Surgery
IS - 10
ER -