Abstract ES1-2: Reconstruction for the high risk patient: challenges of chemotherapy, radiation therapy and patient selection

Abstract

Abstract Breast surgical oncology and breast reconstruction are intimately integrated into the multi-disciplinary management of women with breast carcinoma. The primary goal of care for the breast surgical oncologist and reconstruction surgeon remains the optimal treatment of the breast cancer, while the reconstruction surgeon strives to achieve a soft, symmetric, sensate and scar free breast mound. Factors that must be accounted for include the unpredictable nature of radiated structures and the inability to reliably determine the need for radiation. Next the timing or sequencing of chemotherapy and targeted therapy must be adequately addressed in relation to healing before or after surgery. Patient factors such as age, body habitus, donor site availability and institutional expertise are integral in the decision making process. Finally, the patient's lifestyle and preferences must be counterbalanced with co-morbidities, donor site availability and limitations in implant size and shape. Citation Format: Mehra Golshan. Reconstruction for the high risk patient: challenges of chemotherapy, radiation therapy and patient selection [abstract]. In: Proceedings of the Thirty-Seventh Annual CTRC-AACR San Antonio Breast Cancer Symposium: 2014 Dec 9-13; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2015;75(9 Suppl):Abstract nr ES1-2.