Mammographic findings after reshaping with autoprosthesis in women undergoing contralateral breast reconstruction and mastectomy. Issue 1 (January 2016)

• Record Type: Journal Article
• Authors: Scaperrotta, Gianfranco; Capalbo, Emanuela; Ferranti, Claudio; Falco, Giuseppe; Nava, Maurizio B.; Di Leo, Gianni; Marchesini, Monica; Suman, Laura; Panizza, Pietro
• Is Part Of: Tumori. Volume 102:Issue 1(2016)
• Page Start: 77
• Page End: 83
• Publication Date: 2016-01
• Subjects: Autoprosthesis -- Breast reconstruction -- Breast symmetrization -- Mammographic findings -- Mastectomy -- Tumor; Cancer -- Periodicals; 616.994
• DOI: 10.5301/tj.5000395
• Languages: English
• ISSNs: 0300-8916

Abstract

Aims and background: Breast reduction and mastopexy combined with inferior dermo-lipo-glandular flap (autoprosthesis) gives good breast shape, long-term projection, and upper pole fullness. We assess the impact on breast oncologic surveillance compared to other techniques. Methods: A total of 105 patients who underwent mastectomy and reconstruction were divided into 3 groups of 35 patients each: groups 1 and 2 include patients with contralateral breast symmetrization performed with and without autoprosthesis technique, respectively. Group 3 is a control group without contralateral breast reshaping. On mammography, edema, skin thickening, architectural distortion, and calcifications were recorded, as well as further diagnostic examinations, biopsies, and surgical treatments required. Results: Statistically significant differences (p<0.001) in the first follow-up mammography between groups 1 and 2 were stromal edema (6% vs 51%) and architectural distortion (74% vs 63%). The latest findings meant architectural distortion also have significant difference (p<0.001) in the last mammography (79% vs 66%). Microcalcification has statistically significant difference (p<0.001) in the latest postsurgical mammography, increased in group 1. Skin thickening had a similar course in either group. Mammography follow-up was not impaired in most cases notwithstanding the parenchyma distortion as compared with mammography after breast-conserving surgery. Four core biopsies were performed in both groups: 3 new breast cancers and 1 benign epithelial hyperplasia were found. Conclusions: No difficulties were found impairing mammographic evaluation in patients treated with autoprosthesis as compared to other techniques.