Kijima Yuko, Yoshinaka Heiji, Funasako Yawara, Natsugoe Shoji, Aikou Takashi
Department of Surgical Oncology, Breast and Endocrine Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, 8-35-1 Sakuragaoka, Kagoshima 890-8520, Japan.
Surg Today. 2008;38(4):335-9. doi: 10.1007/s00595-007-3628-z. Epub 2008 Mar 27.
We report a case of bilateral breast cancer lesions treated successfully by partial oncoplastic surgery. A 46-year-old Japanese woman presented with a small mass in the right breast. Mammography showed neither a mass nor calcification in the right breast; however, an irregular-shaped mass lesion was shown in the left breast. Ultrasonography and fine-needle aspiration biopsy revealed ductal carcinoma in situ in the inner-upper quadrant of the right breast and invasive ductal carcinoma in the outer-upper quadrant of the left breast. We considered that it would be difficult to obtain a good symmetrical outcome after partial mastectomy for the bilateral breast lesions because of the asymmetrical location of each lesion and her ptotic breasts. Thus, we performed bilateral partial resection, followed by an inferior pedicle reduction mammaplasty-type operation, with and without axillary lymphadenectomy, and achieved good cosmetic and oncologic results.
我们报告一例通过部分肿瘤整形手术成功治疗的双侧乳腺癌病例。一名46岁的日本女性因右乳出现一个小肿块前来就诊。乳房X线摄影显示右乳既无肿块也无钙化；然而，左乳显示有一个不规则形状的肿块病变。超声检查和细针穿刺活检显示右乳内上象限为导管原位癌，左乳外上象限为浸润性导管癌。由于双侧乳房病变位置不对称以及她的乳房下垂，我们认为在对双侧乳房病变进行部分乳房切除术后很难获得良好的对称效果。因此，我们进行了双侧部分切除术，随后进行了下蒂乳房缩小整形术式的手术，有腋窝淋巴结清扫和无腋窝淋巴结清扫两种情况，并取得了良好的美容和肿瘤学效果。
