Recent trends in total mastectomy techniques and post-mastectomy breast cancer reconstruction: a population-based analysis

Kaye A. Lu, Karen B. Lu, Tyler A. Janz, Bardia Amirlak

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Background: In the last decade, more women are undergoing post-mastectomy reconstruction. The purpose of this study is to examine the evolving changes in mastectomy techniques and post-mastectomy reconstruction for breast cancer patients. Methods: Patients in the Surveillance, Epidemiology, and End Results (SEER) database were included from 2004 to 2014 based on a diagnosis of breast cancer using the ICD O-3 primary site codes: C50.0–50.6 and C50.8–50.9 who underwent a nipple sparing, total simple, modified radical, or radical mastectomy. Patients were categorized into 2-or 3-year cohorts based on their year of diagnosis. Results: A total of 263,161 breast cancer cases were identified. Patients tended to be middle-aged females (mean age: 59.6 years old). 35.0% of patients received a total simple mastectomy in the 2004–2005 cohort compared to 61.8% of patients in the 2012–2014 cohort (P<0.001). Regarding reconstruction technique, 14.7% of patients received post-mastectomy breast reconstruction in the 2004–2005 cohort while 31.7% received post-mastectomy breast reconstruction in the 2012–2014 cohort (P<0.001). Conclusions: Breast cancer patients who undergo mastectomies are likely to be middle-aged Caucasian females. An increased percentage of patients who receive mastectomies have lower stage disease. A higher number of patients are receiving total simple mastectomies over time as compared to modified radical mastectomies. Patients who receive a total simple mastectomy have a higher chance of receiving breast reconstruction. Finally, the use of breast implant reconstruction has increased compared to tissue reconstruction for mastectomy patients.

Original languageEnglish (US)
Article number22
JournalAnnals of Breast Surgery
Volume7
DOIs
StatePublished - Sep 30 2023

Keywords

  • Breast cancer
  • breast reconstruction
  • mastectomy techniques

ASJC Scopus subject areas

  • Surgery

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