Unplanned implant removal in locally advanced breast cancer.

Authors :: Anderson JD
Hammond JB
Kosiorek HE
Thorpe CS
Bhangoo RS
Pockaj BA
Gray RJ
Cronin PA
Rebecca AM
Casey WJ
Wong WW
Keole SR
Vern-Gross TZ
McGee LA
Halyard MY
DeWees TA
Vargas CE
Source :: The breast journal [Breast J] 2021 May; Vol. 27 (5), pp. 466-471. Date of Electronic Publication: 2021 Mar 14.
Publication Year :: 2021
Abstract: Study conducted to determine frequency and timing of unplanned breast implant removal after mastectomy, reconstruction, and postmastectomy radiation (PMRT). From 2010-2017, 52 patients underwent mastectomy, reconstruction, and PMRT. With median follow-up of 3.1 years, 23 patients (44%) experienced implant removal. Implant removal occurred in 9 (17%) patients before starting PMRT and 14 (27%) patients after starting PMRT. Implant removal rates were similar for hypofractionated PMRT compared with standard fractionation and for proton compared with photon PMRT. Implant removal is common for women undergoing mastectomy and reconstruction followed by PMRT. The risk is clinically significant even before starting radiation.<br /> (© 2021 Wiley Periodicals LLC.)