Tamaki Yasuhiro, Yano Kenji, Noguchi Shinzaburo
Department of Surgical Oncology, Osaka University, Graduate School of Medicine, Faculty of Medicine.
Nihon Rinsho. 2006 Mar;64(3):520-6.
Patients with breast cancer accompanied by extensive intraductal components or multiple tumors are not considered to be candidates for breast-conserving surgery. To improve post-operative quality of life of such patients, skin-sparing mastectomy with immediate reconstruction has been performed recently. We described our experience of skin-sparing mastectomy and areola-nipple-sparing mastectomy followed by immediate reconstruction with the use of a latissimus dorsi myocutaneous flap, a transverse rectus abdominis myocutaneous flap, and a deep inferior epigastric artery perforator flap. These operations appear to be oncologically safe when patients are selected carefully, and have a great benefit for the patients both aesthetically and psychologically.
伴有广泛导管内成分或多灶肿瘤的乳腺癌患者不被视为保乳手术的候选者。为改善此类患者的术后生活质量，近来已开展了保留皮肤的乳房切除术并即刻进行乳房重建。我们描述了我们采用背阔肌肌皮瓣、腹直肌肌皮瓣和腹壁下动脉穿支皮瓣进行保留皮肤的乳房切除术及保留乳晕乳头的乳房切除术并即刻重建的经验。当仔细挑选患者时，这些手术在肿瘤学上似乎是安全的，并且在美观和心理方面对患者有很大益处。
