Rouanet P, Givron O, Rouanet G, Pujol H
Centre Val d'Aurelle, Montpellier.
Ann Chir Plast Esthet. 1991;36(3):200-3.
The authors report two cases of giant fibroadenoma of the breast and discuss the diagnostic and therapeutic problems and the value of the "dermal vault" technique. A giant fibroadenoma is a fibroadenoma with a diameter exceeding 6 centimeters. This benign tumor has an inflammatory growth during pregnancy. An exact histological diagnosis is necessary to differentiate GFA from sarcoma phyllodes. The reconstructive concern should not jeopardize the quality of the removal. The "dermal vault" technique seems to meet these requirements: diagnosis and removal are made through a posterior approach and symmetrization of the volumes is easily obtained on clamp. The new location of the NAC should be outlined while bearing in mind that a cutaneous retraction of the upper parts will systematically occur.
作者报告了两例乳腺巨大纤维腺瘤病例，并讨论了诊断和治疗问题以及“真皮穹窿”技术的价值。巨大纤维腺瘤是指直径超过6厘米的纤维腺瘤。这种良性肿瘤在孕期呈炎性生长。需要进行准确的组织学诊断以鉴别巨大纤维腺瘤与叶状肉瘤。重建时不应损害切除的质量。“真皮穹窿”技术似乎符合这些要求：通过后路进行诊断和切除，并且在钳夹时很容易实现体积对称。在确定乳头乳晕复合体（NAC）的新位置时应考虑到上部皮肤会系统性地出现回缩。
