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.
Breast Cancer. 2011 Oct;18(4):273-81. doi: 10.1007/s12282-009-0190-0. Epub 2010 Jan 20.
Oncoplastic techniques, which combine the concepts of oncologic and plastic surgery, are becoming more common, especially in Western countries, however, only a few case reports have been published in Japan. We report the results of oncoplastic surgery for Japanese patients with early breast cancer in the lateral quadrant area.
In eight patients, their breasts were ptotic, and each lesion was diagnosed to be suitable for breast-conservative surgery, we performed oncoplastic surgery combining reduction-type partial mastectomy with nipple-areola recentralization.
The total operation period ranged from 112 to 290 min with the mean period being 189 min. For the six patients who received contralateral mirror image reduction surgery and recentralization of the nipple-areola complex, the reconstruction period ranged from 80 to 230 min with the mean period being 102 min. For two patients who underwent oncoplastic surgery to the treated breast only, the reconstruction periods were 40 and 60 min, respectively. The weights of the resected tissue of the treated breast ranged from 60 to 306 g whereas that of the contralateral breast ranged from 70 to 302 g. Postoperative seroma after axillary dissection was observed in one case.
Oncoplastic surgery for patients with ptotic breasts was successfully performed and may become more popular in Japan in the near future.
肿瘤整形技术结合了肿瘤学和整形外科学的概念，在西方国家越来越普遍，但在日本仅发表了少数病例报告。我们报告了在外侧象限区域对日本早期乳腺癌患者进行肿瘤整形手术的结果。
在 8 例患者中，乳房下垂，每个病变均诊断为适合保乳手术，我们采用结合了减少型部分乳房切除术和乳头乳晕重新中心化的肿瘤整形手术。
总手术时间为 112 至 290 分钟，平均为 189 分钟。对于接受对侧镜像缩小手术和乳头乳晕复合体重新中心化的 6 例患者，重建时间为 80 至 230 分钟，平均为 102 分钟。对于仅接受治疗乳房肿瘤整形手术的 2 例患者，重建时间分别为 40 和 60 分钟。治疗乳房切除组织的重量为 60 至 306 克，而对侧乳房的切除组织的重量为 70 至 302 克。一例腋窝清扫术后出现术后血清肿。
对乳房下垂的患者进行肿瘤整形手术是成功的，在不久的将来，它可能在日本变得更加流行。
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