Suber Jessica, Malafa Menyoli, Smith Paul, Laronga Christine
Moffitt Cancer Center, University of South Florida, Department of Plastic and Reconstructive Surgery, Tampa, FL, USA.
Ann Plast Surg. 2011 May;66(5):546-50. doi: 10.1097/SAP.0b013e31820b3ad7.
Women with previous submuscular breast augmentation who contract breast cancer have several options for breast reconstruction. Our institution offers implant-sparing mastectomy with delayed implant exchange. A retrospective review of 10 patients who underwent implant-sparing mastectomies with delayed implant exchange between 2006 and 2010 was performed. The average age at implant exchange was 48.7 years. The average time between initial augmentation and mastectomy was 7.45 years. The average time between mastectomy and implant exchange was 7.1 months. One patient underwent partial mastectomy with radiation. The average size of implant at initial augmentation was 366 mL. The average size of implant exchange on side of mastectomy was 565.5 mL. One patient underwent a second exchange for larger implants. No other complications were noted. Implant-sparing mastectomy with delayed exchange provides an alternative to tissue expander placement and associated morbidities. This technique provides excellent results with minimal complications for this patient population.
曾接受胸大肌下隆乳术且患乳腺癌的女性有多种乳房重建选择。我们机构提供保留假体的乳房切除术并延迟更换假体。对2006年至2010年间接受保留假体乳房切除术并延迟更换假体的10例患者进行了回顾性研究。更换假体时的平均年龄为48.7岁。初次隆乳与乳房切除之间的平均时间为7.45年。乳房切除与更换假体之间的平均时间为7.1个月。1例患者接受了保乳手术并进行了放疗。初次隆乳时假体的平均大小为366毫升。乳房切除侧更换假体的平均大小为565.5毫升。1例患者为更换更大的假体进行了二次更换。未发现其他并发症。保留假体的乳房切除术并延迟更换假体为放置组织扩张器及相关并发症提供了一种替代方案。该技术为这一患者群体带来了极佳的效果，并发症极少。
