Indications
Multicentric or large tumours relative to breast size, inflammatory breast cancer after systemic therapy, positive margins after conservation, contraindication to radiotherapy, or patient preference after full discussion of options.
The axilla
Where sentinel nodes are involved beyond guideline thresholds, or nodes are clinically involved, levels I and II axillary dissection is performed. Nerve and vessel preservation and careful lymphatic control reduce the risk of lymphoedema and shoulder stiffness.
Reconstruction and rehabilitation
Implant or autologous reconstruction may be immediate or delayed depending on radiotherapy plans. Structured shoulder physiotherapy starts early, and drains usually stay five to ten days.
Common questions
- Can reconstruction be done later?
- Yes. Delayed reconstruction after radiotherapy is common and is planned jointly with the reconstructive team.
- How is lymphoedema managed?
- Early physiotherapy, arm care advice, prompt treatment of infection and referral for compression therapy if swelling develops.
This page is general education, reviewed by Dr. Ishaan Allahabadi, MCh Surgical Oncology (Edge Hill, UK) · MS Surgery · MBBS (Accredited by the Royal College of Surgeons of England). It is not a substitute for individual medical advice. Treatment decisions are made after reviewing your imaging and pathology, in a multidisciplinary tumour board.