Elias E G
Clin Plast Surg. 1979 Jan;6(1):27-30.
Only patients with carcinoma of the breast who have a good prognosis after curative surgery are the best candidates for reconstructive surgery. On the other hand, patients who have a poor prognosis should not be considered for reconstructive breast surgery. Patients with guarded and intermediate prognoses who are candidates for adjuvant chemotherapy programs may be considered for reconstruction after completion of their programs and not prior to or during the programs. They should be evaluated at the end of such program, which ranges from one to two years, to assure absence of occult metastases and to assure complete bone marrow recovery. Even then, if metastases develop at a later date (after insertion of the prosthesis), tissue sloughing may occur at the site of the implant that may delay therapy or cause overwhelming infection.
只有那些在根治性手术后预后良好的乳腺癌患者才是乳房重建手术的最佳候选人。另一方面，预后较差的患者不应考虑进行乳房重建手术。对于有辅助化疗计划的预后不确定和中等预后的患者，可在其化疗计划完成后而非计划之前或期间考虑进行重建。应在这类为期一到两年的计划结束时对他们进行评估，以确保没有隐匿性转移，并确保骨髓完全恢复。即便如此，如果在后期（假体植入后）发生转移，植入部位可能会出现组织脱落，这可能会延迟治疗或导致严重感染。
