When would you recommend delaying PMRT until after breast reconstruction is completed?

Do you always recommend treating breast cancer patients with getting reconstruction with their tissue expanders in place? Or is there a scenerio you would complete expansion and placement of the implant before continuing on with PMRT?

Answer from: Radiation Oncologist at Community Practice

"The main thing is to keep the main thing the main thing" -Stephen Covey. We're now, as a multidisciplinary specialty, about a decade into the wide adoption of "elective mastectomy and immediate implant-based reconstruction". During this period of time, we've ironically seen an increased...

Comments

Radiation Oncologist at Coastal Rad Onc
I definitely prefer expansion before RT. It displa...

Radiation Oncologist at Multicare Radiation Therapy
Interesting approach. Do you have a reference for ...

Radiation Oncologist at Coastal Rad Onc
No reference, sorry, I know I should write it up. ...

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When would you recommend delaying PMRT until after breast reconstruction is completed?

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