ESTRO Multidisciplinary Management of Breast Cancer 2017

The DBCG RT Recon Trial

TREATMENT PROTOCOL Treatment arm A Delayed-immediate reconstruction

Treatment arm B Delayed reconstruction

Initial surgery

Initial surgery

Skin sparing/nipple sparing mastectomy and axillary surgery silicone gel implant and mesh

total mastectomy and axillary surgery

PMRT

PMRT

Final reconstruction 6 months later Autologous Flaps Fat transfer Implant-based +/- ADM (?) Flap + implant Fat transfer

Final reconstruction 6 months later Autologous Flaps Fat transfer Implant-based +/- ADM Flap + implant Fat transfer