Evidence map›Paper›PMID 34268088›Full record

ReviewGland surgery2021

Pattern of local recurrence after mastectomy and reconstruction in breast cancer patients: a systematic review.

Ji Hyeon Joo, Yongkan Ki, Wontaek Kim, Jiho Nam, Donghyun Kim, Jongmoo Park, Hyun Yul Kim, Youn Joo Jung, Ki Seok Choo, Kyung Jin Nam and 1 more

Open access · diamondAbstract readReview
In one paragraph

Review in Gland surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
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  8. Review
  9. Article
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  11. Modified Keystone a Versatile Flap Reconstruction for Mastectomy Defects: Our Clinical Experience.Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Ji Hyeon JooDepartment of Radiation Oncology, Pusan National University Yangsan Hospital, Yangsan, Korea.
Yongkan KiDepartment of Radiation Oncology, Pusan National University School of Medicine, Yangsan, Korea.
Wontaek KimDepartment of Radiation Oncology, Pusan National University School of Medicine, Yangsan, Korea.
Jiho NamDepartment of Radiation Oncology, Pusan National University Hospital, Busan, Korea.
Donghyun KimDepartment of Radiation Oncology, Pusan National University School of Medicine, Yangsan, Korea.
Jongmoo ParkDepartment of Radiation Oncology, Kyungbook National University Chilgok Hospital, Daegu, Korea.
Hyun Yul KimDepartment of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea.
Youn Joo JungDepartment of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea.
Ki Seok ChooDepartment of Radiology, Pusan National University School of Medicine, Yangsan, Korea.
Kyung Jin NamDepartment of Radiology, Pusan National University School of Medicine, Yangsan, Korea.
Su Bong NamDepartment of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Yangsan, Korea.
Pusan National University · KRPusan National University Yangsan Hospital · KRKyungpook National University Hospital · KRPusan National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to describe the locations of local recurrences based on the mastectomy and reconstruction type in breast cancer patients.

methodsIn November 2020, a systematic literature review was performed through MEDLINE/PubMed and the Cochrane Centre Register of Controlled Trials. Publications that included skin-sparing or nipple-sparing mastectomy followed by breast reconstruction and described the location of local recurrences were analyzed. Exclusion criteria included salvage or prophylactic mastectomy, unclear distinction between local and regional recurrences, rare tumor types.

resultsFrom 19 publications, 272 local recurrences lesions were reported in a total of 4,787 patients. After autologous reconstruction (n=2,465), local recurrences were located in the skin in 45 (1.8%) patients, in the chest wall in 18 (0.7%), and in the nipple-areolar complex in 9 (0.4%). After implant reconstruction (n=1,917), local recurrences sites included the skin in 91 (4.7%) patients, chest wall in 8 (0.4%), and nipple-areolar complex in 8 (0.4%). Of the 70 lesions with reported in-breast location, 57 (81.4%) relapsed in the original tumor location. DISCUSSION: Although meta-analysis was not conducted, present analysis demonstrated that most local recurrences after skin-sparing or nipple-sparing mastectomy occurred within the skin or subcutaneous tissues. It was found that the original tumor location was the most frequent site of relapse. Therefore, special attention should be paid to the original tumor overlying the skin while planning postmastectomy radiation therapy.

Indexed as

breast implantsBreast neoplasmbreast reconstructionmastectomy

Identifiers

PMID34268088
PMCPMC8258883
OpenAlexW3167927219

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.