Retrospective analysis of the effects of radiotherapy on the areolas reconstructed with a total skin graft
Introduction: Breast cancer has increased progressively in recent years, and with this, the need for diagnosis and earlier treatment has also increased. Currently, in Brazil, breast cancer accounts for 29.7% of cancer cases in women. The reconstruction of the nipple-areolar complex (NAC) has focused...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Revinter Publicações Ltda.
2021-09-01
|
| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/2983/en_v36n3a07.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849397944011194368 |
|---|---|
| author | Marcela Caetano Cammarota Anderson de Azevedo Damasio Suellen Vieira da Silva Rafael Sabino Caetano Costa Carolina Oliveira Paranagua Castro Tristão Maurício de Aquino Phabio Claudino Estrela Terra Theodoro José Carlos Daher |
| author_facet | Marcela Caetano Cammarota Anderson de Azevedo Damasio Suellen Vieira da Silva Rafael Sabino Caetano Costa Carolina Oliveira Paranagua Castro Tristão Maurício de Aquino Phabio Claudino Estrela Terra Theodoro José Carlos Daher |
| author_sort | Marcela Caetano Cammarota |
| collection | DOAJ |
| description | Introduction: Breast cancer has increased progressively in recent years, and with this, the need for diagnosis and earlier treatment has also increased. Currently, in Brazil, breast cancer accounts for 29.7% of cancer cases in women. The reconstruction of the nipple-areolar complex (NAC) has focused on greater attention due to the search for symmetry and naturalness, which is the final stage of this whole process. The objective is to evaluate the maintenance of the size, contour, color, symmetry and shape change of reconstructed NAC after mastectomies associated with radiotherapy.
Methods: A retrospective study was conducted analyzing the evolution of reconstructed areolas after total mastectomy associated with adjuvant treatment with radiotherapy. Two groups were selected: group 1 (unilateral reconstruction) and group 2 (bilateral reconstruction). Comparisons were made between the reconstructed NAC areola, group 1, with that of the contralateral NAC and in group 2, between the two reconstructed areolas
Results: After the inclusion of 56 patients in the study, 71 reconstructed areolar complexes were included. Symmetry was classified as good in 77.46% of all cases (p=0.706). Twenty-five reconstructions were performed in areas under the effect of radiotherapy, and only 9 cases showed decreased areola size (p=0.050), evolving with an asymmetry in 8 cases, 4 in the radiotherapy region (p=0.706). The areolar contour showed a similarity between cases treated with radiotherapy and untreated (p=0.918).
Conclusion: Adjuvant radiotherapy was a predisposing factor for changes that may arise during the postoperative period of reconstruction of the nipple-areolar complex, according to statistical analysis. |
| format | Article |
| id | doaj-art-cc044bcdc61a4fce99b3f3cd7838f359 |
| institution | Kabale University |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2021-09-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-cc044bcdc61a4fce99b3f3cd7838f3592025-08-20T03:38:48ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352021-09-01360327628010.5935/2177-1235.2021RBCP0037Retrospective analysis of the effects of radiotherapy on the areolas reconstructed with a total skin graftMarcela Caetano Cammarota0Anderson de Azevedo Damasio1Suellen Vieira da Silva2Rafael Sabino Caetano Costa3Carolina Oliveira Paranagua Castro4Tristão Maurício de Aquino5Phabio Claudino Estrela Terra Theodoro6José Carlos Daher7Daher Lago Sul Hospital, Plastic Surgery Service, Brasília, DF, BrazilDaher Lago Sul Hospital, Plastic Surgery Service, Brasília, DF, BrazilDaher Lago Sul Hospital, Plastic Surgery Service, Brasília, DF, BrazilDaher Lago Sul Hospital, Plastic Surgery Service, Brasília, DF, BrazilDaher Lago Sul Hospital, Plastic Surgery Service, Brasília, DF, BrazilDaher Lago Sul Hospital, Plastic Surgery Service, Brasília, DF, BrazilDaher Lago Sul Hospital, Plastic Surgery Service, Brasília, DF, BrazilDaher Lago Sul Hospital, Plastic Surgery Service, Brasília, DF, BrazilIntroduction: Breast cancer has increased progressively in recent years, and with this, the need for diagnosis and earlier treatment has also increased. Currently, in Brazil, breast cancer accounts for 29.7% of cancer cases in women. The reconstruction of the nipple-areolar complex (NAC) has focused on greater attention due to the search for symmetry and naturalness, which is the final stage of this whole process. The objective is to evaluate the maintenance of the size, contour, color, symmetry and shape change of reconstructed NAC after mastectomies associated with radiotherapy. Methods: A retrospective study was conducted analyzing the evolution of reconstructed areolas after total mastectomy associated with adjuvant treatment with radiotherapy. Two groups were selected: group 1 (unilateral reconstruction) and group 2 (bilateral reconstruction). Comparisons were made between the reconstructed NAC areola, group 1, with that of the contralateral NAC and in group 2, between the two reconstructed areolas Results: After the inclusion of 56 patients in the study, 71 reconstructed areolar complexes were included. Symmetry was classified as good in 77.46% of all cases (p=0.706). Twenty-five reconstructions were performed in areas under the effect of radiotherapy, and only 9 cases showed decreased areola size (p=0.050), evolving with an asymmetry in 8 cases, 4 in the radiotherapy region (p=0.706). The areolar contour showed a similarity between cases treated with radiotherapy and untreated (p=0.918). Conclusion: Adjuvant radiotherapy was a predisposing factor for changes that may arise during the postoperative period of reconstruction of the nipple-areolar complex, according to statistical analysis.http://www.rbcp.org.br/export-pdf/2983/en_v36n3a07.pdfmammoplastyareolaareolar graftnipple-areolar complexradiotherapy |
| spellingShingle | Marcela Caetano Cammarota Anderson de Azevedo Damasio Suellen Vieira da Silva Rafael Sabino Caetano Costa Carolina Oliveira Paranagua Castro Tristão Maurício de Aquino Phabio Claudino Estrela Terra Theodoro José Carlos Daher Retrospective analysis of the effects of radiotherapy on the areolas reconstructed with a total skin graft Revista Brasileira de Cirurgia Plástica mammoplasty areola areolar graft nipple-areolar complex radiotherapy |
| title | Retrospective analysis of the effects of radiotherapy
on the areolas reconstructed with a total skin graft |
| title_full | Retrospective analysis of the effects of radiotherapy
on the areolas reconstructed with a total skin graft |
| title_fullStr | Retrospective analysis of the effects of radiotherapy
on the areolas reconstructed with a total skin graft |
| title_full_unstemmed | Retrospective analysis of the effects of radiotherapy
on the areolas reconstructed with a total skin graft |
| title_short | Retrospective analysis of the effects of radiotherapy
on the areolas reconstructed with a total skin graft |
| title_sort | retrospective analysis of the effects of radiotherapy on the areolas reconstructed with a total skin graft |
| topic | mammoplasty areola areolar graft nipple-areolar complex radiotherapy |
| url | http://www.rbcp.org.br/export-pdf/2983/en_v36n3a07.pdf |
| work_keys_str_mv | AT marcelacaetanocammarota retrospectiveanalysisoftheeffectsofradiotherapyontheareolasreconstructedwithatotalskingraft AT andersondeazevedodamasio retrospectiveanalysisoftheeffectsofradiotherapyontheareolasreconstructedwithatotalskingraft AT suellenvieiradasilva retrospectiveanalysisoftheeffectsofradiotherapyontheareolasreconstructedwithatotalskingraft AT rafaelsabinocaetanocosta retrospectiveanalysisoftheeffectsofradiotherapyontheareolasreconstructedwithatotalskingraft AT carolinaoliveiraparanaguacastro retrospectiveanalysisoftheeffectsofradiotherapyontheareolasreconstructedwithatotalskingraft AT tristaomauriciodeaquino retrospectiveanalysisoftheeffectsofradiotherapyontheareolasreconstructedwithatotalskingraft AT phabioclaudinoestrelaterratheodoro retrospectiveanalysisoftheeffectsofradiotherapyontheareolasreconstructedwithatotalskingraft AT josecarlosdaher retrospectiveanalysisoftheeffectsofradiotherapyontheareolasreconstructedwithatotalskingraft |