Schwanitz S, Teutsch W, Gastinger I
Chirurgische Klinik, Carl-Thiem-Klinikum Cottbus.
Zentralbl Chir. 1998;123 Suppl 5:87-9.
Between 1992 and 1997, 424 female patients were treated for primary breast cancer at the Department of Surgery of the Carl-Thiem-Klinikum in Cottbus. The percentage of breast conserving surgical methods hat increased from 10% (1992)-30% (1997). The rate of local recurrence after breast conserving surgery was 8% in 1997. We found a ratio of breast cancer surgery to diagnostic biopsies of 1:1, 1 in 1992 and of 1:2,1 in 1997. After the introduction of reconstructive breast surgery in 1997 we carried out 3 immediate reconstructions with endoprosthesis and 7 cases with myocutaneous flapping. Our own concept of plastic surgery as well as indications for breast conserving therapy will be demonstrated and discussed.
1992年至1997年间，科特布斯卡尔 - 蒂姆医院外科为424名女性原发性乳腺癌患者进行了治疗。保乳手术方法的比例从1992年的10%上升至1997年的30%。1997年保乳手术后的局部复发率为8%。我们发现1992年乳腺癌手术与诊断性活检的比例为1:1.1，1997年为1:2.1。1997年引入乳房重建手术后，我们进行了3例假体植入即刻重建和7例肌皮瓣重建。我们将展示并讨论我们自己的整形手术理念以及保乳治疗的适应症。
