SC Chirurgia Plastica e Ricostruttiva, Istituto Nazionale per la Ricerca sul Cancro IST-GE, Largo R. Benzi 10, 16132, Genova, Italy.
Aesthetic Plast Surg. 2011 Dec;35(6):1180-3. doi: 10.1007/s00266-011-9735-7. Epub 2011 May 10.
Since 2004 in the Department of Oncological Integrated Surgery at the National Institute for Cancer Research of Genoa, we have applied different techniques of reduction mammaplasty for a subgroup of 26 patients with medium- to large-sized and ptotic breasts who are candidates for conservative surgery.
In this series of patients, the choice between different techniques of breast reduction (superior or inferior pedicled or with free areola-nipple graft) depended only on cancer position. The chosen technique minimized reshaping and displacement of residual glandular flaps. In September 2009, the radiotherapists at the Institute began to apply intraoperative radiotherapy (IORT) to early breast cancer, and at the time of this report, more than 200 patients have been treated.
This report describes two cases of reduction mammaplasty associated with this new and easily performed radiotherapy option (IORT) and discusses its advantages and cautions.
Close collaboration between surgical oncologist, plastic surgeon, and radiotherapist is essential before and during surgery to obtain adequate tumor resection and good aesthetic results and to minimize postoperative complications.
自 2004 年以来，在热那亚国家癌症研究所肿瘤综合外科，我们对 26 名乳房中等至较大且下垂的保乳手术候选患者应用了不同的缩乳技术。
在这一系列患者中，选择不同的缩乳技术（上方或下方带蒂或游离乳晕-乳头皮瓣移植）仅取决于肿瘤位置。选择的技术最大限度地减少了残留腺体皮瓣的重塑和移位。2009 年 9 月，研究所的放射治疗师开始对早期乳腺癌应用术中放疗（IORT），截至本报告时，已有 200 多名患者接受了治疗。
本报告描述了两例与这种新的、易于实施的放疗方法（IORT）相关的缩乳术，并讨论了其优点和注意事项。
在手术前和手术期间，外科肿瘤学家、整形外科医生和放射治疗师之间必须密切合作，以获得充分的肿瘤切除和良好的美容效果，并尽量减少术后并发症。
