Hamdi Moustapha, Wolfli James, Van Landuyt Koenraad
Plastic and Reconstructive Surgery Department, Gent University Hospital, De Pintelaan 185, B-9000, Gent, Belgium.
Clin Plast Surg. 2007 Jan;34(1):51-62; abstract vi. doi: 10.1016/j.cps.2006.11.007.
The treatment of breast cancer is an evolving field. Different modalities are continuously being developed to maximize patient survival while minimizing the treatment's morbidity. Currently, the two main options for the management of primary breast cancer are total mastectomy and partial mastectomy with radiation. Although partial mastectomies (lumpectomy or quadrantectomy) conserve the nipple and areola complex and native breast tissue, asymmetry and distortion of the breast can still occur. Many methods of reconstruction have been described. The early and long-term effects of radiation also contribute to the complexity of these cases. This article reviews breast-conserving therapy, reconstruction options, and outcomes.
乳腺癌的治疗是一个不断发展的领域。人们持续研发不同的治疗方式,以在使治疗的发病率降至最低的同时,最大限度地提高患者生存率。目前,原发性乳腺癌治疗的两个主要选择是全乳切除术和保乳手术加放疗。尽管保乳手术(肿块切除术或象限切除术)可保留乳头乳晕复合体及乳腺组织,但乳房仍可能出现不对称和变形。已经描述了许多重建方法。放疗的早期和长期影响也增加了这些病例的复杂性。本文综述了保乳治疗、重建选择及治疗结果。