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Topic: radiotherapy and previous reconstruction with implants

Forum: Radiation Therapy - Before, During, and After —

What to expect from treatment and ways to cope with side effects.

Posted on: Nov 27, 2019 04:15PM - edited Nov 27, 2019 04:16PM by sarafg

sarafg wrote:

Hi everyone!

Last year I had invasive carcinoma on my breast (3 tumours) stage IIa and the doctors decided to perform a skin and nipple sparing total mastectomy with immediate reconstruction with implants. The treatment after was only hormonaltg.

After a year it turns out that I have a local recurrence on the same breast (the reconstructed one).

They now plan to remove just the tumour and do radiotherapy on my already reconstructed breast. I wonder if someone else has been on the same situation as I am really worried rads will affect my previous reconstruction with implant.

If someone can help, thank you.

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Nov 27, 2019 06:24PM Dani444 wrote:

I am so sorry you have had a recurrence. I had a UMX with direct to implant. Turns out my nodes were positive so I ended up getting rads. My BS followed me very closely and my implant has survived so far. It definitely sits higher than it did before rads and my skin is tighter. I have a pre pec silicone gel implant With alloderm. My BS advised me on what lotions she wanted me to use, in addition to what the RO wanted. I hope you have few side effects as you go through radiation. All the best to you.

DX @ 46, premenopausal, mammaprint low risk Dx 8/21/2018, LCIS/ILC, Right, 4cm, Stage IB, Grade 2, 2/3 nodes, ER+/PR+, HER2- (IHC) Surgery 10/25/2018 Lymph node removal: Sentinel; Mastectomy: Right; Reconstruction (right): Silicone implant Radiation Therapy 12/6/2018 Lymph nodes, Chest wall Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Nov 27, 2019 07:54PM mocame wrote:

I had BMX with implants 11 years ago. Was dx with a recurrence in August and just finished 6 weeks of radiation. So far my skin looks okay. It does sit slightly higher than it used to and I think I have a little swelling and it's a little firmer but I just finished rads less than 2 weeks ago. During my MRI at 2nd dx, they found my one implant had a contained rupture. My PS told me that they won't even talk to me about surgery to replace the implant for at least 6 months after rads are finished. They did tell me that I will have a higher chance that the radiated skin will have a harder time healing after the surgery.

Dx 2/12/2008, DCIS, Stage 0, Grade 2, 0/2 nodes, ER+/PR- Dx 8/22/2019, IDC, Left, <1cm, Stage IA, ER+/PR+, HER2- Radiation Therapy 10/6/2019 Whole-breast: Breast Hormonal Therapy 11/28/2019 Zoladex (goserelin) Hormonal Therapy 12/5/2019 Arimidex (anastrozole)
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Nov 29, 2019 07:17AM LaCombattante wrote:

Sorry you have a recurrence!

I had a uni with immediate reconstruction to implant in 2011 and i just finished active treatment for auxiliary recurrence, including 25 rads

My BS advised me not to draw any conclusions about state of my reconstructed breast / implant for the first six months. Should I need a revision, we will explore my options then. In the meantime he urged me to continue to be as physically active as possible and to stretch daily. Swimming (once the skin heals post rads) and yoga were particularly recommended by all doctors / PTs I talked to. And of course, moisturizing moisturizing moisturizing.

Surgery 6/20/2011 Mastectomy: Left Hormonal Therapy 8/25/2011 Femara (letrozole), Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Dx 2/28/2019, ILC, Left, Grade 2, 6/8 nodes, ER+/PR+, HER2- Surgery 4/3/2019 Lymph node removal: Underarm/Axillary Chemotherapy 4/29/2019 Cytoxan (cyclophosphamide), Ellence (epirubicin), Taxol (paclitaxel)
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Nov 29, 2019 11:44AM MinusTwo wrote:

sara - I had a recurrence 2 years after reconstruction. The BS was able to do ALND surgery w/o breaching the implant capsule and I did go through 25 rounds of radiation to that side. The only difference to the implant is that it rides higher & tighter due to the results of radiation damage to nerves & muscles.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Nov 29, 2019 11:45AM MinusTwo wrote:

OOps - I had already answered on the other site you started. Best to just pick one site & stick with it.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014

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