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Topic: Reconstruction after radiation/chemo?

Forum: ILC (Invasive Lobular Carcinoma) — Just diagnosed, in treatment, or finished treatment for ILC.

Posted on: Jul 25, 2018 03:19PM - edited Jul 25, 2018 03:19PM by Paintersdream

Paintersdream wrote:

I am wanting to hear from ladies who have had reconstruction after going through chemo, radiation and hormone therapy. My surgeon recommends that I wait and do not do any reconstruction at the same time as my mastectomy. I have ILC in 2 areas of my my left breast and require a mastectomy. My right breast is clear so I have opted to remove only one breast. Unfortunately, I do have 4 auxiliary lymph nodes positive for cancer. My mastectomy is scheduled for July 31. I have the option of delaying with my surgeon to speak with an plastic surgeon on whether I am a candidate for at least delayed immediate reconstruction. Having a partially filled tissue expand-er which can be removed later after radiation.

What has been your experience with delayed reconstruction after radiation/chemo/hormone therapy.


Dx 5/25/2018, ILC, Left, 1cm, Stage IIIB, Grade 1, 15/15 nodes, ER+/PR-, HER2- Surgery 7/31/2018 Lymph node removal: Left, Underarm/Axillary; Mastectomy: Left
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Jul 25, 2018 03:31PM - edited Jul 25, 2018 03:32PM by Lula73

generally they want you to wait 6 months minimum after rads. Alternatively, if you went with DIEP flap or SGAP flap recon instead of implantsyou could do that at time of mx and have rads after.

-Lula Dx 1/2017, DCIS/IDC, Right, 1cm, Stage IA, Grade 1, 0/2 nodes, ER+/PR+, HER2- Surgery 2/13/2017 Lymph node removal: Sentinel; Mastectomy: Left, Right; Prophylactic ovary removal; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Hormonal Therapy 3/2/2017 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 11/1/2017 Prophylactic ovary removal Hormonal Therapy 1/2/2018 Femara (letrozole)
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Jul 25, 2018 03:40PM OCDAmy wrote:

I had BMX with TEs, chemo, rads and AI.Was planning on getting implants but my rads breast had quite a bit of skin damage and my PS thought an implant would not work so I had DIEP and am pleased with results. I know it's possuble to do rads on a radiated breast but I'm glad I waited, I wouldn't want to damage this new skin.

Dx 2/2017, IDC, Left, 4cm, Stage IIB, Grade 2, 2/13 nodes, ER+/PR+, HER2- Surgery 11/14/2018 Reconstruction (left): Fat grafting; Reconstruction (right): Fat grafting, Silicone implant Surgery Lymph node removal; Mastectomy: Left; Prophylactic mastectomy: Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy Cytoxan (cyclophosphamide), Taxotere (docetaxel) Hormonal Therapy Arimidex (anastrozole) Surgery Reconstruction (left): DIEP flap Radiation Therapy Whole-breast
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Jul 25, 2018 04:43PM carmstr835 wrote:

I had bilateral mastectomy chemo and rads. My PS wanted to wait till 6 months after rads and 6 weeks after targeted therapy (Hrcepton & Perjeta).

Dx 3/1/2017, DCIS/IDC, Both breasts, 1cm, Stage IIB, Grade 2, 2/17 nodes, ER+/PR-, HER2+ (FISH) Hormonal Therapy 3/21/2017 Arimidex (anastrozole) Surgery 3/26/2017 Lymph node removal: Right, Sentinel, Underarm/Axillary; Mastectomy: Left, Right; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Chemotherapy 5/16/2017 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Targeted Therapy 6/26/2017 Perjeta (pertuzumab) Targeted Therapy 6/26/2017 Herceptin (trastuzumab) Chemotherapy 6/26/2017 Carboplatin (Paraplatin), Taxotere (docetaxel) Radiation Therapy 9/10/2017 Breast, Lymph nodes, Chest wall Surgery 7/9/2018 Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Surgery 10/15/2018 Reconstruction (left): Fat grafting; Reconstruction (right): Fat grafting Surgery 9/17/2019 Reconstruction (left): Fat grafting; Reconstruction (right): Fat grafting Targeted Therapy Nerlynx

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