Radiation therapy after breast augmentation or reconstruction in early or recurrent breast cancer Journal Article


Authors: Ryu, J.; Yahalom, J.; Shank, B.; Chaglassian, T. A.; McCormick, B.
Article Title: Radiation therapy after breast augmentation or reconstruction in early or recurrent breast cancer
Abstract: Fourteen patients whose augmented or reconstructed breasts were treated with radiation therapy were analyzed. Silicone gel implants were used in 13 patients and free‐injected silicone in one patient. The total radiation dose ranged from 4400 to 6200 cGy using tangential photon fields or an en face electron field by megavoltage equipment. In several cases, electron boost radiation was added to the tumor bed. The majority of the patients tolerated therapy well with minimal transient skin reactions; only three patients required a treatment break secondary to moist desquamation. Three patients developed documented implant encapsulation, although the majority retained good to excellent cosmesis. In summary, when breast carcinoma arises in the augmented or reconstructed breast, conservative management (i.e., limited surgery and definitive irradiation) is feasible without compromising the therapy or the cosmetic result. Thus, conservative management should be offered as an option to patients who are interested in breast prosthesis conservation. Copyright © 1990 American Cancer Society
Keywords: clinical article; cancer radiotherapy; follow-up studies; neoplasm recurrence, local; breast cancer; breast; radiotherapy dosage; breast neoplasms; breast reconstruction; fibrosis; radiation injuries; esthetics; prostheses and implants; complication; silicones; silicone gel; human; female; priority journal; article
Journal Title: Cancer
Volume: 66
Issue: 5
ISSN: 0008-543X
Publisher: Wiley Blackwell  
Date Published: 1990-09-01
Start Page: 844
End Page: 847
Language: English
DOI: 10.1002/1097-0142(19900901)66:5<844::Aid-cncr2820660505>3.0.Co;2-z
PUBMED: 2386913
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 27 January 2020 -- Source: Scopus
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MSK Authors
  1. Joachim Yahalom
    590 Yahalom
  2. Beryl McCormick
    359 McCormick
  3. Brenda M. Shank
    44 Shank