Schaverien Mark V, Stutchfield Ben M, Raine Cameron, Dixon J Michael
Department of Plastic Surgery, St Johns Hospital, Livingston, United Kingdom.
Ann Plast Surg. 2012 Sep;69(3):240-3. doi: 10.1097/SAP.0b013e3181f8caf1.
Implant-based augmentation mammaplasty following breast-conserving cancer therapy (BCT) and radiotherapy has previously been cautioned against given concerns over complications and potential occult recurrence.
All patients who underwent BCT and radiotherapy followed by implant-based augmentation mammaplasty were included in the study. Retrospective case-note analysis was performed.
In all, 23 delayed implant-based mammaplasty procedures following BCT for breast cancer were performed. Fifteen tumors were located in the superior half of the breast. The median weight of wide local excision was 71.0 g (range, 15-385). All implants were placed in a subglandular position with median volume of 140 mL (range, 80-370). Complications occurred in 10 breasts, and 6 breasts required revisional surgery. Capsular contracture occurred in 4 breasts. No patient developed locoregional recurrence. A questionnaire revealed excellent satisfaction of the patient, and all patients reported that they definitely or probably would recommend the procedure.
Delayed implant-based augmentation mammaplasty after BCT and radiotherapy is feasible and gives good aesthetic results with high satisfaction of the patient. This technique is an important addition to the breast conservation surgery algorithm.
鉴于对并发症和潜在隐匿性复发的担忧，先前曾有人告诫不要在保乳癌症治疗（BCT）和放疗后进行植入式隆乳术。
本研究纳入了所有接受BCT和放疗后再进行植入式隆乳术的患者。进行了回顾性病例记录分析。
总共对23例乳腺癌患者在BCT后进行了延迟植入式隆乳术。15个肿瘤位于乳房上半部分。广泛局部切除的中位重量为71.0克（范围15 - 385克）。所有植入物均置于腺体下位置，中位体积为140毫升（范围80 - 370毫升）。10例乳房出现并发症，6例乳房需要进行修复手术。4例乳房发生包膜挛缩。无患者出现局部区域复发。一份问卷调查显示患者满意度极高，所有患者均表示肯定或可能会推荐该手术。
BCT和放疗后延迟进行植入式隆乳术是可行的，能带来良好的美学效果，患者满意度高。该技术是保乳手术方案中的一项重要补充。
