Unità di Senologia, Dipartimento Chirurgico - Ospedale "Bolognini", via Paderno, 21, 24068, Seriate, Italy.
Updates Surg. 2011 Dec;63(4):283-6. doi: 10.1007/s13304-011-0114-3. Epub 2011 Oct 13.
The onco-plastic surgery technique that we propose, exploiting an "extra-mammary" access, allows to make a breast-conserving surgery yet oncologically radical for early breast cancer, according to the conventional protocols of breast-conserving therapy (BCT), avoiding the excision of the skin, if not involved, overlying the lesion and the resulting scar on the breast. The incision is made immediately below the inframammary fold, thus the resulting surgical scar is hardly visible or often totally invisible on standing, because hidden from the natural breast ptosis. With this technique it is possible to significantly reduce the alteration of breast profile and body image as well as the effects on the fragile psychology of women who underwent breast cancer surgery. A related case with 36 months follow-up is described. Additional research needs to be conducted to evaluate long-term results and effectiveness of the proposed technique in relation to a large number of cases.
我们提出的肿瘤整形手术技术，利用“乳房外”入路，可以对早期乳腺癌进行保乳手术，同时达到肿瘤学上的根治效果，根据保乳治疗（BCT）的常规方案，避免切除覆盖病变的皮肤，如果没有受累，以及乳房上的由此产生的疤痕。切口位于乳晕下方，因此，手术疤痕在站立时几乎不可见，或者通常完全不可见，因为它隐藏在自然乳房下垂中。通过这种技术，可以显著减少乳腺癌手术后乳房轮廓和身体形象的改变，以及对女性脆弱心理的影响。描述了一个具有 36 个月随访的相关病例。需要进行更多的研究来评估所提出技术的长期效果和有效性，以及与大量病例的关系。
