Resultados. Con una edad media de 50 años, el estadio T1N0 fue el más frecuente (n = 8), T1N1 (n = 1), T2N0 (n = 7), T2N1 (n = 4), T3N1 (n = 2), T4N1 (n = 1). Histológicamente, el carcinoma ductal infiltrante se presentó en 15 casos, carcinoma intraductal (n = 7) y carcinoma lobulillar (n = 1). El resultado estético fue satisfactorio en el 87% de las pacientes.
Conclusiones. La reconstrucción mamaria inmediata con tejido autólogo permite una cirugía oncológica rigurosa, disminuye el traumatismo psicológico que acompaña la mastectomía y confiere a la paciente una actitud más optimista frente a la enfermedad
Patients and methods. We report a study of 23 patients who underwent immediate breast reconstruction involving prosthesis (n = 2), expander and prosthesis (n = 2), the Becker tissue expander (n = 1), latissimus dorsii muscle (n = 2), pedicled TRAM flap (n = 13) and bipedicled TRAM flap (n = 3). Patient age, tumor stage, histological findings and cosmetic results were evaluated.
Results. The mean patient age was 50 years. The most common tumor stage was T1N0 (n = 8); the other stages were T1N1 (n = 1), T2N0 (n = 7), T2N1 (n = 4), T3N1 (n = 2) and T4N1 (n = 1). Histological studies disclosed the presence of ductal infiltrating carcinoma in 15 cases, intraductal carcinoma in 7 and lobular carcinoma in 1. The cosmetic results were satisfactory in 87% of the patients.
Conclusions.. Immediate breast reconstruction with autologous tissue allows thorough cancer surgery, reduces the psychological trauma that accompanies mastectomy and leaves the patients with a more optimistic attitude toward the disease.