Bronz L, Bronz G, Goldhirsch A, Thum P
Reparto ginecologia, Ospedale S. Giovanni, Bellinzona.
Helv Chir Acta. 1992 May;59(1):279-82.
A 29-year-old woman presented with an exulcerating cancer of the right breast. She underwent a total mastectomy and axillary clearance which revealed a pathological stage of T4 N+ (21/23) M0. She received chemotherapy followed by radiation therapy and by chemotherapy again. 30 months later, a contralateral breast cancer was diagnosed. A close team-work of gynaecologist, plastic surgeon, medical and radiation oncologists allowed to combine the operation with the reconstruction of both breasts together with chemotherapy and irradiation of the left chest wall (the tumor was focally infiltrating the pectoralis muscle). We would like to show that a reconstruction of the breast in a young woman presenting with a bad prognosis can be carried out provided a well-organized team-work.
一名29岁女性因右乳溃疡性癌就诊。她接受了全乳切除术和腋窝清扫术，病理分期为T4 N+（21/23）M0。她先接受了化疗，接着是放疗，之后又再次接受化疗。30个月后，对侧乳腺癌被诊断出来。妇科医生、整形外科医生、医学肿瘤学家和放射肿瘤学家紧密合作，得以在手术的同时对双侧乳房进行重建，并对左胸壁进行化疗和放疗（肿瘤局部侵犯胸大肌）。我们想要表明，对于预后不良的年轻女性，只要团队协作良好，乳房重建是可以进行的。
