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Integration of Breast Reconstruction and Radiation: How the Proton-Photon Debate Exposes Methodological Gaps, Analytical Bias, and Lack of Consensus.
For breast cancer patients undergoing mastectomy and reconstruction, postmastectomy radiation therapy jeopardizes reconstruction outcomes, yet no universal consensus exists for integrating postmastectomy radiation therapy with breast recons…
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Impact of Prepectoral Implant Placement and Radiation Modalities (Protons/Photons/Dosimetry) in Mastectomy Patients Undergoing Immediate Single Stage Direct-to-Implant Breast Reconstruction.
[PURPOSE] For patients with breast cancer receiving mastectomy with direct-to-implant (DTI) immediate breast reconstruction, placing the implant in the prepectoral or subpectoral plane remains debatable, especially in settings of postmastec…
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Risk of Developing Breast Reconstruction Complications: A Machine-Learning Nomogram for Individualized Risk Estimation with and without Postmastectomy Radiation Therapy.
[BACKGROUND] The purpose of this study was to create a nomogram using machine learning models predicting risk of breast reconstruction complications with or without postmastectomy radiation therapy. [METHODS] Between 1997 and 2017, 1617 br…
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Radiation Modality (Proton/Photon), Timing, and Complication Rates in Patients With Breast Cancer Receiving 2-Stages Expander/Implant Reconstruction.
[PURPOSE] Our purpose is to explore the effect of postmastectomy radiation therapy (PMRT) modality and timing on complication rates in breast cancer patients receiving immediate 2-stages expander/implant. [METHODS AND MATERIALS] We reviewe…
- Plastic Surgery of the Breast: A 75-Year Journey.
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Optimal breast reconstruction type for patients treated with neoadjuvant chemotherapy, mastectomy followed by radiation therapy.
[PURPOSE] To explore the optimal type of breast reconstruction and the time interval to postmastectomy radiotherapy (PMRT) associated with lower complications in breast cancer patients receiving neoadjuvant chemotherapy. [METHODS] We revie…
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Pathologic findings in reduction mammoplasty specimens: a surrogate for the population prevalence of breast cancer and high-risk lesions.
[PURPOSE] Mammoplasty removes random samples of breast tissue from asymptomatic women providing a unique method for evaluating background prevalence of breast pathology in normal population. Our goal was to identify the rate of atypical bre…
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Incidental breast carcinoma: incidence, management, and outcomes in 4804 bilateral reduction mammoplasties.
[INTRODUCTION] Bilateral reduction mammoplasty is one of the most common plastic surgery procedures performed in the U.S. This study examines the incidence, management, and prognosis of incidental breast cancer identified in reduction speci…