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Understanding Your Breast Reconstruction Options: Pedicled Flaps

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….

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Understanding Your Breast Reconstruction Options: Pedicled Flaps

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  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

  2. 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

  3. 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

  4. Breast CA in Younger WomenWhy is the battle tougher? • Less information • Less same age peer support • Concerns about sexuality, fertility, family, career are greatly heightened

  5. 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

  6. TRAM Flap

  7. Latissimus Flap

  8. Latissimus Flap

  9. 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!

  10. Resources www.texaspsa.com www.dallasbreastreconstruction.com drduffy@texaspsa.com drmckane@texaspsa.com

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