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Is immediate reconstruction after mastectomy in breast cancer patients beneficial to shoulder function?

Title
Is immediate reconstruction after mastectomy in breast cancer patients beneficial to shoulder function?
Author
정민성
Keywords
breast cancer; breast reconstruction; scapula tilting; shoulder and arm morbidity; transverse rectus abdominis myocutaneous flap
Issue Date
2016-08
Publisher
WILEY-BLACKWELL
Citation
ANZ JOURNAL OF SURGERY, v. 88. no. 4, page. 363-368
Abstract
Background: To compare shoulder morbidity between patients who received transverse rectus abdominis myocutaneous (TRAM) flaps after mastectomy (MX + TRAM) and patients who underwent mastectomy only (MX). Methods: Thirty patients in each group were followed for a minimum of 2 postoperative years. Visual analog scale (VAS) score, restricted range of motion (ROM), rotator cuff disease, muscle strength, shoulder function scores (American Shoulder and Elbow Score and Shoulder Pain and Disability Index), measurement of scapular tilt on chest radiography and standing position in each group were compared. Results: There were no significant differences in VAS, restricted ROM, rotator cuff disease, muscle strength, shoulder function scores or scapula tilt on physical examination. However, lower angles of the scapula on chest radiography (4.0 13.2 versus −3.4 12.4 mm; P = 0.029) and pectoralis minor index (0.4 7.7 mm versus 7.8 9.1 mm; P = 0.001) were significantly different between the two groups. Conclusions: Immediate breast reconstruction after a MX had advantages for preserving scapular resting alignment but did not provide benefits for shoulder morbidity on short-term follow-up.
URI
https://onlinelibrary.wiley.com/doi/abs/10.1111/ans.13735https://repository.hanyang.ac.kr/handle/20.500.11754/76483
ISSN
1445-1433; 1445-2197
DOI
10.1111/ans.13735
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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