Nakahira Shin, Nomura Takashi, Adachi Shinichi, Amano Kouji, Morita Shunji, Hiraoka Nobuaki, Morimoto Takashi, Tanaka Toshikazu, Shibata Nobuhiro, Takeda Masashi
Dept. of Surgery, Yao Municipal Hospital.
Gan To Kagaku Ryoho. 2002 Nov;29(12):2402-5.
A 42-year-old woman underwent breast conserving operation with irradiation for Stage I (T1 N0 M0) breast cancer at the 12 o'clock axis of her right breast. At six years after surgery, a solitary local recurrent tumor (1.2 cm in diameter) was found at the 2 o'clock axis of her right breast. No metastases were found at other sites. By the desire of the patient to conserve her breast, we performed re-lumpectomy with surgical margin (2 cm) and reconstructed with a rectus abdominis musculocutaneus flap to fill the large defect of breast tissue. One year and 5 months after surgery, the patient was doing well without recurrence, and was satisfied with the cosmetic effect.
一名42岁女性因右乳12点方位的I期（T1 N0 M0）乳腺癌接受了保乳手术及放疗。术后六年，在其右乳2点方位发现一个孤立的局部复发性肿瘤（直径1.2厘米）。其他部位未发现转移。出于患者保留乳房的意愿，我们进行了手术切缘为2厘米的再次肿块切除术，并用腹直肌肌皮瓣进行重建以填补乳房组织的大缺损。术后1年零5个月，患者情况良好，无复发，对美容效果满意。
