2010 Annual Report - Regional West Medical Center

“We must be the change we wish to see in the world.”ContinuedBreast Cancer ReonstructionNipple and areola reconstruction is usually performed at a laterstage, following completion of the breast mound. Many techniquesare described to reconstruct the nipple and areola, butmost involve the use of skin on the new breast, which is raisedand sutured to create a nipple. Color is then applied to the nippleand areola area by tattooing.The decision to undergo breast reconstruction can be a difficultchoice for a woman who is facing the diagnosis of breast cancer.Whether she elects to undergo reconstruction at the time of mastectomy,after completion of treatment, or not at all, is influencedby many factors, including lifestyle, family, co-morbidities, andstage of disease. This decision cannot be made without adequateinformation. As part of her treatment process, each breast cancerpatient should be given the opportunity to investigate whetherbreast reconstruction is appropriate for her.References1. American Cancer Society, Cancer Statistics, 2010. Available at http://caonline.amcancersoc.org/cgi/content/full/caac.20073v1,accessed June 26, 2011.172. National Cancer Data, State of Nebraska, Regional West Medical Center data.3. De Angelis R, Tavilla A, Verdecchia A, et al. Breast cancer survivors in the United States:Geographic variability and time trends. 2005-2015. Cancer 2009; 115:1954-1966.4. Baxter NN, Virnig BA, Durham SB, et al. Trends in treatment of ductal carcinoma in situof the breast. L Natl Cancer Inst 2004;96:443-4485. Tuttle TM, Jarosek S, Habermann EB, et al. Increasing rates of contralateral prophylacticmastectomy among patients with ductal carcinoma in situ. J Clin Oncol,2009;27:1362-1367.6. Gos LL, Smith BL, Liao EC. Evolution of breast reconstruction paradigms driven byincrease in numbers of bilateral mastectomy. Plast Reconstr Surg 2011;127:30.7. Wilkins EG, Cederna PD, Lowery JC, et al. Prospective analysis of psychosocial outcomesin breast reconstruction: one-year postoperative results from the MichiganBreast Reconstruction Outcome Study. Plast Reconstr Surg 2000;106:1014-1025.8. Kpodzo DS, Antony A, Damjanovic B, Chretien Y, Austen WG, Colwell AS. Post-mastectomybreast reconstruction versus mastectomy alone: A comparative assessment ofquality of life using patient-reported satisfaction, body image and sexual well-being.Plast Reconstr Surg 2011;127:46.9. The Women’s Health and Cancer Rights Act. Available at https://www.cms.gov/HealthInsReformforConsume/06_TheWomen%27sHealthandCancerRightsAct.asp,accessed June 26, 2011.10.Alderman AK. Use of Breast Reconstruction after Mastectomy Following the Women’sHealth and Cancer Rights Act. JAMA 2006;295(4):387-388.11. Craft RO, Colakoglu S, Curtis MS, et al. Patient satisfaction in unilateral and bilateralbreast reconstruction. Plast Recon Surg 2011;127(4):1417-1424.