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Involve the MDT
BEFORE
Immediate
Reconstruction
•
Options to aid prediction:
1. SLNB before mastectomy to aid in planning of both implant and
flap based reconstructions (if using an axillary pedicle for a flap)
2. Grade and immunophenotype on core: Her-2/TNP/grade 3
3. Imaging review re posterior clearance and proximity to skin and
nipple
4. ? Role for an oncoplastic MDT (some low level evidence this
enhanced the rate of immediate breast reconstruction, El
Gammal et al, 2017)