Bishop C C, Singh S, Nash A G
St Helier Hospital, Carshalton, Surrey.
Ann R Coll Surg Engl. 1990 Mar;72(2):87-9.
Total mastectomy and immediate reconstruction using the latissimus dorsi myocutaneous flap with nipple preservation has been performed in 87 women. The palpable tumours were all more than 3 cm from the nipple. No recurrence in the preserved nipple was seen in 63 women who underwent the procedure for tumour recurrence after previous radiotherapy. Nipple recurrence occurred in 3 out of 24 women (12%) where the indication was multifocal disease and no radiotherapy was given. This non-irradiated group should either not have the nipple preserved or should undergo postoperative electron field therapy to the nipple-areolar complex.
87名女性接受了全乳切除术，并立即使用保留乳头的背阔肌肌皮瓣进行重建。可触及的肿瘤均距离乳头超过3厘米。63名曾接受过放疗后因肿瘤复发而接受该手术的女性，其保留的乳头未见复发。在24名因多灶性疾病且未接受放疗而接受手术的女性中，有3名（12%）出现乳头复发。对于这个未接受放疗的组，要么不保留乳头，要么对乳头乳晕复合体进行术后电子野治疗。
