Plastic Surgery Department, Royal Marsden Hospital, Fulham Road, London SW3 6JJ, United Kingdom.
Breast. 2011 Aug;20(4):373-9. doi: 10.1016/j.breast.2011.02.010. Epub 2011 Mar 4.
The number of women with stage IV disease who have breast reconstruction is small. The primary aim of this study was to examine opinions as to the appropriateness of breast reconstruction in this group. The Association of Breast Surgeons (ABS) and the British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) were invited to take part in an online survey. Of the respondents, 78.7% would operate on the primary tumour. Plastic surgeons showed a propensity for immediate reconstruction compared to their breast surgery colleagues, and 26.3% of breast surgeons would not offer reconstruction at all. Immediate latissimus dorsi (LD) flap and implant were the favoured method in early stage disease with delayed LD and implant the most popular option for stage IV disease. As survival figures continue to improve, the number of patients requesting reconstruction is likely to increase. Further debate will be necessary in anticipation of future service development.
患有 IV 期疾病的女性进行乳房重建的人数较少。本研究的主要目的是探讨在这组患者中进行乳房重建的适宜性。英国乳房外科医师协会（ABS）和英国整形、重建与美容外科医师协会（BAPRAS）受邀参与了一项在线调查。受访者中，78.7%的人会对原发性肿瘤进行手术。与乳房外科医生相比，整形外科医生更倾向于即刻重建，而 26.3%的乳房外科医生则根本不提供重建。在早期疾病中，即刻 Latissimus dorsi（LD）皮瓣和植入物是首选方法，而对于 IV 期疾病，延迟 LD 和植入物则是最受欢迎的选择。随着生存数据的不断提高，要求重建的患者数量可能会增加。未来需要进一步的讨论，以预测未来的服务发展。
