Autologous breast reconstruction following mastectomy remains an integral component in the management of these patients. Those with pre-existing medical conditions require special consideration, such as patients with autoimmune connective tissue diseases (CTDs). Autoimmune CTDs include a group of disorders with a wide spectrum of clinical manifestations that may adversely affect surgical outcomes.1 Due to these factors, surgeons may be reluctant to perform autologous breast reconstructions in these patients, particularly using free tissue transfer.
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