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Sunday, February 05, 2012 Bobbie Robinson asks

Q: What are the risks of having reconstruction at this time? Will the surgery triggger the cancer to return? I want it done but I'm fraid.

I had IBC with tumor in 2009 and had intense chemo therapy, mastectomy and radiation. I have been cancer free since Feb of 2010. I was told that reconstruction at the time of surgery was not an option. At my last months visit with the surgeon I asked if I could have reconstruction now that I'm 2 yrs cancer free. He said yes. But I want to know if the risks outweigh the benefit. Will the surgery trigger my cancer to return? What should I know about this before I see the plastic surgeon? I'm afraid to back under the knife.

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Answers (2)
PJ Hamel, Health Guide
2/ 6/12 5:15am

Bobbie, there's no evidence at all that subsequent surgery after your initial surgery will "spread" breast cancer; so please don't worry about that. You're apparently NED (no evidence of disease), and I'm sure both your surgeon and oncologist feel confident about you having reconstructive surgery; otherwise they wouldn't give you the go-ahead.

 

There are different types of surgery you might consider; our introduction to reconstruction  offers lots of information about your choices.

 

It's understandable you're reluctant to undergo more surgery. But once it's done, the majority of women are very pleased with the results, and say it's a big help emotionally to have a breast again, and an intact figure. Best of luck as you go through the process, and I hope you have a satisfactory outcome. Take care - PJH

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Phyllis Johnson, Health Guide
2/ 6/12 7:17pm

Bobbie, I'm also an IBC survivor.  At the time of my treatment in 1998, my surgeon wanted me to wait a year before discussing reconstruction, but my oncologist wanted me to wait two years.  It's not an issue of reconstruction reactivating the cancer.  You don't need to worry about that if you are ready for reconstruction.  Since most IBC recurrences occur within two years of treatment, my oncologist didn't want to have to deal with a possible recurrence being hidden by the reconstructed breast.  When I hit two years out, I was a bit like you; I was tired of surgery, treatments, and hospitals.  I put reconstruction off, and ended up never having it.

The plastic surgeon is the one who will have to tell you whether you are a good candidate for reconstruction.  Unfortunately, many IBC patients have had so much damage to their skin from radiation, that they are not good candidates for implants.  However, if your skin is in good condition, implants might work for you.  Many IBC patients are very happy with tram flap or DIEP reconstruction.  I would strongly encourage you to go ahead and talk to the plastic surgeon.  Then you will know what is and isn't possible in your case.  Keep the oncologist and your original surgeon in the loop about what the plastic surgeon suggests and make sure that all your doctors are OK with the plastic surgeon's plan.  If you think you want reconstruction, now is the time to find out what can be done.  Hope you get good news from the plastic surgeon.

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By Bobbie Robinson— Last Modified: 02/06/12, First Published: 02/05/12