Fitzal F, Nehrer G, Hoch D, Riedl O, Gutharc S, Deutinger M, Jakesz R, Gnant M
Department of Surgery, Medical University Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria.
Eur J Surg Oncol. 2007 Dec;33(10):1158-63. doi: 10.1016/j.ejso.2007.04.004. Epub 2007 May 25.
Breast conserving therapy shows remarkable oncologic results and is eligible for up to 73% of patients with breast cancer. Cosmetic results are good, however, in patients with central or medio-cranial ("no-man's land") located breast cancer, the cosmetic result may be unsatisfying. The use of different breast reduction techniques have been shown to increase resection free margins and improve cosmetic results. We report here about the use of the Hall Findlay breast reduction technique for oncoplastic surgery to improve the cosmetic result in 11 patients. The Hall Findlay technique shows good postoperative breast symmetry, all patients had resection free margins above 5mm and are free of disease at a mean follow-up of 12 months. The technique may be used for breast cancer at various locations and reduces scar visibility and morbidity.
保乳治疗显示出显著的肿瘤学效果，适用于多达73%的乳腺癌患者。美容效果良好，然而，对于位于乳腺中央或中颅（“无人区”）的乳腺癌患者，美容效果可能不尽人意。已证明使用不同的乳房缩小技术可增加切缘阴性且改善美容效果。我们在此报告使用霍尔·芬德利乳房缩小技术进行肿瘤整形手术以改善11例患者的美容效果。霍尔·芬德利技术显示出良好的术后乳房对称性，所有患者切缘阴性距离均超过5毫米，且在平均12个月的随访中无疾病复发。该技术可用于不同部位的乳腺癌，减少疤痕可见度和发病率。
