Oncoplastic breast surgery combining partial mastectomy with a triangular skin resection and re-centralization of the nipple-areola
Oncoplastic breast surgery combining partial mastectomy with a triangular skin resection and re-centralization of the nipple-areola
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DOI：
10.1007/s00595-020-02041-3
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发表时间：
2020-06-10
期刊：
影响因子：
2.5
通讯作者：
Natsugoe, Shoji
中科院分区：
文献类型：
--
作者：
Kijima, Yuko;Hirata, Munetsugu;Natsugoe, Shoji
早期乳腺癌采用保乳疗法（BCT）治疗通常可确保局部控制和可接受的美容效果。我们在此报告一个有用的技术，以获得对称的乳房形状和水平乳房下线和乳头乳晕，取得了良好的效果。本研究入组了6例位于乳房上部的早期乳腺癌日本患者。一个三角形的皮肤区域连同癌组织和周围健康的乳房组织一起被切除。设计两个新月形，并在9点和3点方向上去上皮。新月形的宽度被决定为与要移除的三角形的底边的一半或长度相同。乳房部分切除后，将内、外腺体瓣水平缝合。手术操作简单，无术后并发症。乳腺癌整形手术结合部分乳房切除术和三角形皮肤切除术以及乳头乳晕重新集中对于非下垂乳房上象限区域的乳腺癌患者有用。
The treatment of early breast cancer using breast conservation therapy (BCT) commonly ensures local control and acceptable cosmetic results. We herein report a useful technique to obtain symmetry of the breast shape and a level inframammary line and nipple-areola, which achieved excellent results. Six Japanese patients with early breast cancer located on the upper area of the breast were enrolled into this study. A triangle-shaped area of skin was removed together with cancerous and healthy-surrounding breast tissue. Two crescents were designed and de-epithelialized in the directions of 9 o'clock and 3 o'clock. The width of the crescent was decided to be the same as a half or the length of the base of a triangle to be removed. After partial mastectomy, the inner and outer glandular flaps were horizontally sutured. The operations were simple to perform and were not associated with any postoperative complications. Oncoplastic breast surgery combining partial mastectomy with triangular skin resection and re-centralization of the nipple-areola was useful for patients with breast cancer on the upper quadrant area of non-ptotic breasts.