New Options for Breast Reconstruction
Experts Say Many Breast Cancer Survivors Are Uninformed About the Choices
WebMD News Archive
Breast Reconstruction Options continued...
Transplanting donor tissue from a patient's identical twin to
reconstruct the breast with a flap technique is another new option, and three
such cases are reported in the October issue of Plastic and Reconstructive
None of the patients could supply her own tissue for the transplant, for
various reasons. One, for instance, was too lean and had no excess abdominal or
buttocks tissue to transfer, according to Robert J. Allen, Jr., MD, a surgeon
in Charleston, S.C., the lead author of the report. He reports that all three
transplants were successful and believes the report is the first documentation
of flap transplants for breast reconstruction.
In the future, he writes, such transplants for breast reconstruction might
be possible between nonidentical twins.
Breast Reconstruction and Quality of Life
Research is under way to evaluate the personal impact of having breast
A new questionnaire, developed by Pusic, aims to quantify how breast
reconstruction affects the patient's quality of life.
Called the Memorial Sloan-Kettering Cancer Center Breast-Q, it measures
satisfaction and quality of life by examining body
image as well as psychological, social, sexual, and physical
It is hoped that the results will educate patients and doctors about the
value of breast reconstruction for some women, she says.
Breast Reconstruction: The Access Problem
Despite legislation mandating coverage and new techniques for
reconstruction, racial and regional gaps exist, says Amy Alderman, MD,
assistant professor of surgery at the University of Michigan Medical Center,
African-American women are half as likely to have breast reconstruction as
whites, for instance, she says.
In one study, 35% of women in Atlanta opted for immediate reconstruction but
just 8% of those in Connecticut did.
To find out why more women weren't opting for reconstruction, Alderman
searched patient data bases in Los Angeles and Detroit that included more than
2,000 women and found that providers did a "poor job in informing women
about their options."
One barrier, she says, is that many of the women didn't have access to a
plastic surgeon before their mastectomy. The Society advocates a team approach,
with the general surgeon working with the plastic surgeon.
If a woman isn't offered a team approach, the speakers say, she can first
find a plastic surgeon and ask him or her to help assemble a team.