Franceschini G, Magno S, Fabbri C, Chiesa F, Di Leone A, Moschella F, Scafetta I, Scaldaferri A, Fragomeni S, Adesi Barone L, Terribile D, Salgarello M, Masetti R
Breast Unit, Department of Surgery, Catholic University of the Sacred Heart, Rome, Italy.
Eur Rev Med Pharmacol Sci. 2008 Nov-Dec;12(6):387-96.
In the attempt to optimise the balance between the risk of local recurrence and the cosmetic outcomes in breast surgery, new surgical procedures, so-called oncoplastic techniques, have been introduced in recent years. The term oncoplastic surgery refers to surgery on the basis of oncological principles during which the techniques of plastic surgery are used, mostly for reconstructive and cosmetic reasons. The advantage of the oncoplastic surgery for breast cancer is the possibility of performing a wider excision of the tumour with a good cosmetic result. Oncoplastic surgery is a broad concept that can be used for several different combinations of oncological surgery and plastic surgery: excision of the tumour by reduction mammoplasty, tumour excision followed by remodelling mammoplasty, mastectomy with immediate reconstruction of the breast and partial mastectomy with reconstruction. Careful patient selection and preoperative planning are key components for the success of any oncoplastic operation for breast cancer. Accurate preoperative evaluation of the clinical and biological features of the tumour as well as of the morphological aspects of the breast allow the surgeon to make a decision if a conservative or radical approach is preferable and select the most effective oncoplastic surgical technique. In this review we summarise the indications, advantages and limitations of several oncoplastic procedures.
为了优化乳腺癌手术中局部复发风险与美容效果之间的平衡，近年来引入了新的手术方法，即所谓的肿瘤整形技术。肿瘤整形手术是指基于肿瘤学原则进行的手术，在此过程中使用整形手术技术，主要是出于重建和美容目的。肿瘤整形手术治疗乳腺癌的优势在于能够在获得良好美容效果的同时更广泛地切除肿瘤。肿瘤整形手术是一个广泛的概念，可用于肿瘤手术和整形手术的多种不同组合：通过乳房缩小成形术切除肿瘤、肿瘤切除后进行乳房重塑成形术、乳房切除并立即进行乳房重建以及部分乳房切除并进行重建。仔细的患者选择和术前规划是任何乳腺癌肿瘤整形手术成功的关键要素。对肿瘤的临床和生物学特征以及乳房形态学方面进行准确的术前评估，有助于外科医生决定采用保守还是根治性方法，并选择最有效的肿瘤整形手术技术。在本综述中，我们总结了几种肿瘤整形手术的适应证、优势和局限性。
