de Groot Renee M, Kingma-Vegter Florine, Bakker Xander R
Ziekenhuis Amstelland, afd. Chirurgie, Amstelveen, The Netherlands.
Ned Tijdschr Geneeskd. 2009;153:B314.
In plastic surgery, reduction mammaplasty is a common operation. The incidence of occult breast cancer detection is low but if diagnosed, consequences for the patient and the attending physician have a great impact. In this case, a 55-year-old woman complained of physical discomfort because of macromastia. Reduction mammaplasty was performed. Histopathological analysis revealed breast cancer of the breast reduction specimen. Once this diagnosis was made, the physicians looked more thoroughly into the patient's history, and a risk analysis focused on breast cancer. On a multidisciplinary level it was decided that ablation of the left breast with limited axillary lymph node dissection was the most feasible treatment. It may be evident that surgical outcomes and treatment options were complicated and limited because of the recently performed operation. This illustrates the value of adequate history taking, supply of information as well as consideration of certain pre- and postoperative screening methods.
在整形外科中，乳房缩小术是一种常见的手术。隐匿性乳腺癌的检出率较低，但一旦确诊，对患者和主治医生都会产生重大影响。在本病例中，一名55岁女性因巨乳症而感到身体不适，遂接受了乳房缩小术。组织病理学分析显示，乳房缩小标本患有乳腺癌。一旦做出这一诊断，医生们更深入地研究了患者的病史，并针对乳腺癌进行了风险分析。在多学科层面上，决定行左侧乳房切除并进行有限的腋窝淋巴结清扫是最可行的治疗方法。由于近期刚进行过手术，手术结果和治疗选择显然较为复杂且受限。这说明了充分采集病史、提供信息以及考虑某些术前和术后筛查方法的重要性。
