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Old 11-26-2013, 11:17 AM   #2
Shirley
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Join Date: Apr 2013
Location: Lakewood, WA
Posts: 56
Re: Breast Reconstruction After Radiation

Thank you for that post, 'lizbeth. I am just finishing up radiation (worst experience so far, BTW). My ps said 12 months for a flap surgery and something like 4-6 months if the skin can handle an implant. I prefer a DIEP flap if it's possible, although I'm getting awfully tired of the expander (it looks and feels wierd and I'm lopsided because the expander sits up higher. I guess I should just be glad that I'm alive and not fret over this). He said he would consider an implant, but another ps said "studies show that waiting 12 months for a DIEP is better than waiting 6-9 months, and we do not do implants on radiated skin".

Of course at this point, at the tail end of radiation, any sort of surgery involving the radiated site sounds preposterous. I can barely move that arm and am in constant pain. Aargh!

Shirley
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  • Age 54 at dx (April '13) Stage 2b, grade 3
  • ER+ PR+ HER+, 9 cm tumor one breast and <0.5 cm in sentinal node
  • BRCA1 and 2 negative
  • Neoadjuvant TCH chemo started 5-15-13 (4 rounds, 3 weeks apart)
  • Unilateral Mx w/expander 8-22-13 (right side)
  • 5/5 nodes Neg
  • clear margins but close. Tumor at removal down to 2.2 cm.
  • Radiation 6 wks starting 10-17-13.
  • Herceptin every 3 weeks until 4-23-14
  • DIEP/Mastopexy 10-8-14, U of WA
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