News Release

Advanced age should not deter women from breast reconstruction after cancer

Peer-Reviewed Publication

Atrium Health Wake Forest Baptist

WINSTON-SALEM, N.C. -- Breast cancer is on the rise and 48 percent of all breast cancers occur in women older than 65, but very few of them choose to have breast reconstruction.

A new study from Wake Forest Baptist Medical Center sought to determine if breast reconstruction after mastectomy is safe for older women. The answer is yes.

"The removal of a breast has implications for the psychological, social and sexual well-being of the patient, establishing the need that reconstruction should be offered," said Marissa Howard-McNatt, M.D., assistant professor of surgery at Wake Forest Baptist. "However, little is known about rates of reconstruction in elderly women after breast cancer."

The study appears in the December issue of the American Surgeon journal. Howard-McNatt and colleagues reviewed data from patients treated at Wake Forest Baptist over a 10-year period, evaluating 89 women over age 60 who had undergone mastectomy and reconstruction.

What they determined from the study, said lead author Howard-McNatt, is that breast reconstruction is safe, feasible and well tolerated for these patients though they are not as likely to choose this option. "Generally, breast cancer in the elderly is less aggressive than in younger patients. Life expectancy can still be substantial – 16 years for a 70-year-old and greater than six years for an otherwise healthy 80-year-old."

She cautions that women with co-morbid conditions such as coronary artery disease, diabetes and respiratory illnesses may be limited in their choices after a mastectomy. In treating older women, it's important to understand the biology of the disease, she said, and the impact co-morbidities have on survival.

As the population ages and women's overall health continues to improve, the number of women older than 65 is predicted to nearly double by 2050. "More patients are candidates for aggressive breast cancer therapy," Howard-McNatt said. "The safety of reconstruction, as well as increased life expectancy and healthier lifestyles, makes breast reconstruction desirable at any age."

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Co-authors include Clay Forsberg, M.D., Edward Levine, M.D., Anthony DeFranzo, M.D., Malcolm Marks, M.D., and Lisa David, M.D., all of Wake Forest Baptist.

Media Relations Contacts: Bonnie Davis, bdavis@wakehealth.edu, 336-716-4977; or Marguerite Beck, marbeck@wakehealth.edu, 336-716-2415.

Wake Forest Baptist Medical Center is a fully integrated academic medical center located in Winston-Salem, North Carolina. The institution comprises the medical education and research components of Wake Forest School of Medicine, the integrated clinical structure and consumer brand Wake Forest Baptist Health, which includes North Carolina Baptist Hospital and Brenner Children's Hospital, the commercialization of research discoveries through the Piedmont Triad Research Park, as well as a network of affiliated community-based hospitals, physician practices, outpatient services and other medical facilities. Wake Forest School of Medicine is ranked among the nation's best medical schools and is a leading national research center in fields such as regenerative medicine, cancer, neuroscience, aging, addiction and public health sciences. Wake Forest Baptist's clinical programs are consistently ranked as among the best in the country by U.S.News & World Report.


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