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유방 전절제술 후 즉시 유방 재건술을 시행 받은 유방암 환자의 치료 성적

Other Titles
 Clinical Outcome of Immediate Breast Reconstruction after Mastectomy for Breast Cancer 
 남상근  ;  박세호  ;  이동원  ;  송승용  ;  박형석  ;  김승일  ;  박병우  ;  유대현 
 Journal of Breast Disease, Vol.2(2) : 44-50, 2014 
Journal Title
Journal of Breast Disease
Issue Date
Breast neoplasms ; Mastectomy ; Reconstructive surgical procedures ; Survival
Purpose: This study aimed to investigate clinical outcomes of breast cancer patients who underwent mastectomy with or without immediate breast reconstruction.

Methods: Of 1,847 patients undergoing total mastectomy, 371 (20.1%) underwent immediate reconstruction between January 2005 and December 2011. Clinicopathological characteristics and survival were compared by performing univariate and multivariate analysis.

Results: The proportion of reconstruction had been gradually increasing since 2009. Reconstruction group showed younger age at diagnosis and lower cancer stages. Adjuvant chemotherapy and radiation therapy were more frequently administered in the mastectomy alone group. During a median follow-up period of 57 months, locoregional relapse-free survival (LRRFS) was similar regardless of type of surgery. However the reconstruction group showed a more favorable overall survival (OS). Multivariate analysis for LRRFS revealed no statistical significance but the OS was higher in the reconstruction group. In the mastectomy alone group, two-thirds died of breast cancer, while all patients in the reconstruction group died of breast cancer. Stage-matched breast cancer specific survival was similar between both groups.

Conclusion: Immediate breast reconstruction is oncologically safe after mastectomy for breast cancer. Considering the quality of life, the patient should be preoperatively counseled by a multidisciplinary team regarding possible immediate reconstruction.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Seung Il(김승일)
Park, Byeong Woo(박병우) ORCID logo https://orcid.org/0000-0003-1353-2607
Park, Se Ho(박세호) ORCID logo https://orcid.org/0000-0001-8089-2755
Park, Hyung Seok(박형석) ORCID logo https://orcid.org/0000-0001-5322-6036
Song, Seung Yong(송승용) ORCID logo https://orcid.org/0000-0002-3145-7463
Lew, Dae Hyun(유대현)
Lee, Dong Won(이동원) ORCID logo https://orcid.org/0000-0003-0046-3139
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