Assistance Publique-Hôpitaux de Paris, Department of Gynecologic and Oncologic Surgery, Hôpital Européen George-Pompidou, 20 Rue Leblanc, 75015 Paris, France.
Breast. 2012 Aug;21(4):475-9. doi: 10.1016/j.breast.2011.11.004. Epub 2011 Dec 18.
Conservative treatment of lower pole breast cancer in small or medium sized breasts could be attended with poor cosmetic outcomes. The purpose of this study was to assess the results of the "Crescent" Oncoplastic technique in this indication.
Prospective study in 54 breast cancer patients undergoing the technique.
Post-operative recovery was uneventful except 1 hematoma and 6 breast seromas. With a mean follow-up period of 45 months (range 27-64), no local recurrences was detected. Five patients had fat necrosis. Cosmetic results were assessed as being excellent (39%), good (35%), fair (20%) and mediocre (6%).
We therefore advise this technique as a first step oncoplastic surgery technique for tumors situated near the inframammary fold. We also recommend the systematic check of the final cosmetic results in the standing position in order to obtain the best possible results.
对于小或中等乳房的下极乳腺癌，保守治疗可能会导致较差的美容效果。本研究的目的是评估“新月形”整形技术在该适应证中的结果。
对 54 例接受该技术的乳腺癌患者进行前瞻性研究。
术后恢复顺利，除 1 例血肿和 6 例乳房血清肿外。平均随访 45 个月（范围 27-64），未发现局部复发。5 例患者发生脂肪坏死。美容效果评估为优秀（39%）、良好（35%）、一般（20%）和中等（6%）。
因此，我们建议对于位于乳晕下褶皱附近的肿瘤，将该技术作为第一步整形手术技术。我们还建议在站立位系统检查最终美容效果，以获得尽可能好的效果。
