Transcript Slide 1
Understanding Your Breast Reconstruction Options: Pedicled Flaps
Frederick J. Duffy, Jr. M.D., F.A.C.S.
Clinical Assistant Professor UT-Southwestern Medical School Dallas, Texas LBBC C4YM February 22, 2014
The real world… 22 year old african-american college student with newly diagnosed breast cancer Prior history of Hodgkin ’ s Disease Factors: college, eventual children, sexuality, scars Chose tissue expander, eventual latissimus flap
Even more complicated… 40 year old diagnosed with breast cancer early in her second trimester of pregnancy Chose to remain pregnant…received taxol through pregnancy and eventual mastectomy Subsequent prophylactic contralateral mastectomy and bilateral DIEP flaps
Breast CA in Younger Women Why is the battle tougher?
Less information Less same age peer support Concerns about sexuality, fertility, family, career are greatly heightened
Questions Should I reconstruct my breast?
Am I a candidate?
When (immediate or delayed)?
How many operations will be needed?
Will I need surgery on the other breast?
Will breast reconstruction impact on the ability to detect recurrent or other cancers?
Reconstructive options
TRAM Flap
Latissimus Flap
Latissimus Flap
My Advice Stay informed…you are your own best advocate Ask to see patient photos and talk with a patient who has had the procedure you are considering Choose a surgeon who can offer you all the options I believe it is important for each patient to feel comfortable with their surgeon…trust your instincts!
Resources www.texaspsa.com
www.dallasbreastreconstruction.com