Division of Plastic and Reconstructive Surgery, University of California Los Angeles, Los Angeles, California 90095, USA.
Curr Opin Obstet Gynecol. 2011 Feb;23(1):44-50. doi: 10.1097/GCO.0b013e328340e18a.
A brief overview of the current options in breast reconstruction with special consideration given to the effect of radiotherapy is presented.
Breast reconstruction is an important part of the overall care of mastectomy patients. Studies have demonstrated improved psychological well being, better quality of life, and most recently increased survival in women who have undergone breast reconstruction. Advancements such as nipple and skin sparing mastectomies, acellular dermal matrix, and improved implant technology have improved the results of implant-based breast reconstruction. The development of perforator flaps has further minimized donor-site morbidity with autologous tissue breast reconstruction. Despite much progress, difficulties remain in the management of patients with locally advanced breast cancer who will require radiation.
Informed physician counseling of current breast reconstruction options is an integral part of the overall care of patients undergoing mastectomy. Special consideration needs to be made for patients with locally advanced breast cancer who require radiotherapy.
本文简要概述了当前乳房重建的各种选择，并特别考虑了放射治疗的影响。
乳房重建是乳房切除术患者整体治疗的重要组成部分。研究表明，接受乳房重建的女性在心理幸福感、生活质量方面得到改善，最近甚至在生存率方面也有所提高。乳头和皮肤保留乳房切除术、脱细胞真皮基质和改良的植入物技术等方面的进步改善了基于植入物的乳房重建的效果。穿支皮瓣的发展进一步降低了接受自体组织乳房重建患者的供区发病率。尽管取得了很大进展，但对于需要放疗的局部晚期乳腺癌患者的管理仍存在困难。
医生对当前乳房重建选择的知情咨询是接受乳房切除术患者整体护理的一个组成部分。对于需要放疗的局部晚期乳腺癌患者，需要特别考虑。
