Radiotherapy in breast reconstruction is mostly safe

doi:10.1136/bmj.330.7503.1330-a

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Martin J Rolles, specialist registrar, clinical oncology (rolles@ukgateway.net)

Wessex Radiotherapy Centre, Royal South Hants Hospital, Southampton SO14 0YG

EDITOR—Ahmed et al say that radiotherapy can increase the complications of breast reconstruction and adversely affect outcome.1 This point is not clearly justified.

The literature on the effect of radiotherapy on reconstructed breasts is based mostly on small retrospective series, with wide differences in reported complication rates. Objective measurement of fibrosis and capsular contracture is difficult, relying on clinical classification2 or some form …