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Plastic SurgeryManagement
Breast Reconstruction Timing Algorithm (NCCN/ASPS)
Breast Reconstruction Timing Algorithm (NCCN/ASPS): Breast Reconstruction Candidate → Post-Mastectomy Radiation Planned? → Timing Preference → Immediate...
Pathway Overview
10 steps
Algorithm Steps
10 total
01Start 02Decision Post-Mastectomy Radiation Planned?
03Decision Timing Preference
- Immediate (at mastectomy)
- Delayed (after treatment)
- Staged
04Action Immediate Reconstruction
No radiation: excellent option
05Decision Reconstruction Type
- Implant-based
- Autologous tissue
- Combination
06End Implant Reconstruction
Direct-to-implant or TE→implant
07End Autologous Reconstruction
DIEP, TRAM, latissimus ± implant
08End No Reconstruction
Patient preference, prosthesis option
09Action Immediate with Expander
Radiation complicates: consider staged
- Path rejoins step 05Shared downstream outcome
10Action Delayed Reconstruction
After all adjuvant therapy complete
- Path rejoins step 05Shared downstream outcome
Guideline Source
NCCN Guidelines: Breast Reconstruction / ASPS Practice Parameters
Clinical Safety Information
Clinical Decision Support — Not a Substitute for Clinical Judgment
Individual patient factors may require deviation from these recommendations.
Known Limitations
- Oncologic treatment affects timing
- Patient preference critical
- Insurance and access considerations
Applicable Regions
USAUUKEU
UK: NHS commissioned service
US: Women's Health and Cancer Rights Act mandates coverage
Version 1Next review: 2028-01-01
Next steps
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Related Resources
Frequently Asked Questions
What is the Breast Reconstruction Timing Algorithm (NCCN/ASPS)?
The Breast Reconstruction Timing Algorithm (NCCN/ASPS) is a management clinical algorithm for Plastic Surgery. It provides a structured decision tree to guide clinical decision-making, based on NCCN Guidelines: Breast Reconstruction / ASPS Practice Parameters.
What guideline is the Breast Reconstruction Timing Algorithm (NCCN/ASPS) based on?
This algorithm is based on NCCN Guidelines: Breast Reconstruction / ASPS Practice Parameters (DOI: 10.6004/jnccn.2022.0028).
What are the limitations of the Breast Reconstruction Timing Algorithm (NCCN/ASPS)?
Known limitations include: Oncologic treatment affects timing; Patient preference critical; Insurance and access considerations. Individual patient factors may require deviation from these recommendations.
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