Long-term outcome after mastectomy with immediate breast reconstruction

Figures & data

Table I.  Characteristics of invasive cancers.

Parameter	Number	Percentage
Positive lymph nodes
0	82	(71.3%)
1–3	29	(25.2%)
> 3	4	(3.5%)
Tumour diameter
< 10 mm	27	(23.5%)
10–19 mm	54	(47.0%)
20–50 mm	33	(28.7%)
> 50 mm	1	(0.9%)
Risk
Low risk	82	(71.3%)
High risk	33	(28.7%)

Table II.  Incidences of late complications in the different reconstructive methods.

Parameter	Implant		TRAM flap		Latissimus dorsi flap		Latissimus dorsi with implant
Number of cases	82		33		26		4
Re-operations
None	54	(66%)	28	(85%)	23	(88%)	1	(25%)
1	19	(23%)	4	(12%)	2	(8%)	2	(50%)
> 1	9	(11%)	1	(3%)	1	(4%)	1	(25%)
Indication
Capsular contrature	14	(17%)	0	(0%)	0	(0%)	1	(25%)
Implant displacement	1	(1%)					1	(25%)
Scar revision	4	(5%)	4	(12%)	3	(12%)	0	(0%)
Implant rupture	0	(0%)	0	(0%)	0	(0%)	0	(0%)
Fat necrosis	0	(0%)	0	(0%)	0	(0%)	0	(0%)
Other	9	(11%)	1	(3%)	1	(4%)	1	(25%)

Figure 1.  Fifty years old female with invasive cancer in the right breast before (a) mastectomy and after (b) mastectomy and immediate breast reconstruction with a TRAM flap. The left breast has been corrected.

Table III.  Locoregional recurrence rate, death rate and disease free survival for patients with invasive cancer.

Parameter	High risk	Low risk	p-value
Locoregional recurrence rate	13% (4%–29%)	3% (0%–10%)	NS
Death rate	22% (9%–40%)	7% (2%–14%)	0.032
Disease free survival (months; mean±s.d.)	89±43	104±35	0.048