[Reduction mammaplasties on irradiated breasts: A litterature review]

Abstract

Introduction: Breast reduction is a very common intervention in plastic surgery. Its benefit on the quality of life of patients is certain. With the increasing number of conservative surgeries for breast cancer, the potential number of breast reduction on the irradiated breast has increased. The antecedent of irradiation is an absolute contraindication for the majority of breast reduction teams. The objective of this review of the literature is to evaluate the characteristics of the patients, the modalities, the complications and the overall satisfaction of the patients operated on breast reductions on irradiated ground.

Method: A review of the literature according to the recommendations was carried out. A total of 207 articles were found with the appropriate keywords (Mammoplasty Reduction, Reduction Mammaplasty, Breast reduction crossed with the terms radiotherapy, irradiation). After selection, 11 articles were selected and analyzed.

Results: 126 patients were included. The average age was 50 years, the average BMI was 29kg/m². The majority of patients were non-smokers and non-diabetics. The average resection weight was 507 grams. The average follow-up was 24.6 months. The delay between radiotherapy and surgery was 48 months. Five different surgical techniques were used. A complication rate of 50% is found. Overall satisfaction is good.

Conclusion: This is the first review of the literature on breast reduction series on irradiated breasts. The results are inspiring and critical. Appropriate selection of patients seems essential. The publication of larger series and the description of a standardized technique would be interesting.

Keywords: Breast cancer; Breast reduction; Cancer du sein; Conservative treatment; Irradiated breast; Mastopexie; Mastopexy; Oncoplastie; Oncoplasty; Radiotherapy; Radiothérapie; Réduction mammaire; Sein irradié; Traitement conservateur.