Immediate breast reconstruction has become widespread in breast cancer patients since the eighties of the last century. Now the criteria for adjuvant chest wall radiotherapy are changing as the problem of interference between reconstruction and radiotherapy appears. The irradiation of a reconstructed breast increases complication rate and worsens long-term cosmetic results. If radiotherapy is needed, it should be given regardless of reconstruction and delayed, instead immediate, breast reconstruction is preferable. However, the necessity of radiotherapy is rather difficult to predict before surgery as the criteria arise from the definitive histopathologic examination. Consequently, the former reconstruction enthusiasm has been moderated. Oncologists should be familiar with immediate reconstruction issues in order to provide their patients with realistic information and not hinder reduction of negative esthetic side effects of oncological treatment. A survey of the most important literature concerning this issue is presented in the article.

• MeSH
• adjuvantní radioterapie MeSH
• lidé MeSH
• mamoplastika * MeSH
• nádory prsu radioterapie   chirurgie   MeSH
• prostá mastektomie * MeSH
• Check Tag
• lidé MeSH
• ženské pohlaví MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH
• přehledy MeSH

Introduction: Symptomatic calcifications of the breast or skin after breast cancer surgery and adjuvant radiotherapy are a rare entity, with only a few case reports published worldwide, reducing the patient's quality of life, whilst asymptomatic calcifications are a common finding on imaging methods. Case presentation: Herein, we present a rare case report of calcifications after mastectomy and post-mastectomy radiation therapy causing chronic inflammation with ulceration and fistula formation, with a two-step surgical approach consisting of excision with linear suture and excision with the reconstruction using a thoraco-epigastric flap. Conclusions: To our knowledge, this is the first publication proving the feasibility of this therapy in patients with symptomatic dystrophic calcifications of the skin or the breast. Moreover, the article provides an up-to-date review of published studies about symptomatic calcifications after breast cancer surgery and radiotherapy with a focus on the time of the clinical manifestation from the radiotherapy and the used radiotherapy scheme.

• Klíčová slova
• breast cancer, calcifications, mastectomy, radiotherapy,
• MeSH
• adjuvantní radioterapie MeSH
• kalcinóza * etiologie   chirurgie   MeSH
• kvalita života MeSH
• lidé MeSH
• mamoplastika * metody   MeSH
• mastektomie škodlivé účinky   metody   MeSH
• nádory prsu * radioterapie   chirurgie   MeSH
• prsy chirurgie   MeSH
• Check Tag
• lidé MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• kazuistiky MeSH
• přehledy MeSH