Department of Surgery, Ankara Oncology Hospital, Ankara, Turkey.
Clin Breast Cancer. 2012 Jun;12(3):194-8. doi: 10.1016/j.clbc.2012.03.010. Epub 2012 Apr 14.
We applied the intraglandular flap technique with racquet incision for tumors located in the upper outer quadrant of medium to small size breasts of 47 patients. It is an easy and safe technique with respect to cosmetic results, surgical margins, and complications.
The intraglandular flap is a volume replacement technique in which glandular tissue is used to close the tissue defect. We applied the intraglandular flap technique with racquet incision for tumors located in the upper outer quadrant of medium to small size breasts of 47 patients. In this report, we present our preliminary results of this technique.
The intraglandular flap technique using a racquet incision was used on 47 consecutive breast cancer patients with T1 and T2 tumors, and analyzed prospectively.
The median age of the patients was 46.5 (range, 24-63 years). The mean tumor size was 2.53 ± 0.8 cm. The volume of the resected specimen was 185 ± 29 cm(3). The mean length of incision was 9.68 ± 1.8 cm. The mean distance from the tumor to the nearest surgical margin was 1.65 ± 0.4 cm. Fat necrosis was evident in 8 patients (17%) and hematoma in 2 patients (4.2%). The other complications like seroma, glandular, and flap necrosis were not observed.
Intraglandular flap technique with racquet incision used for tumors located in the upper outer quadrant of patients with medium and small breasts is an easy and safe technique with respect to cosmetic results, surgical margins and complications. The learning period of this technique is quite short. When used in patients with dense breasts the incidence of fat necrosis was found to be low.
我们应用球拍状切口的腺内瓣技术治疗 47 例中、小乳房外上象限肿瘤。该技术在美容效果、手术切缘和并发症方面具有简单、安全的特点。
腺内瓣是一种利用腺体组织关闭组织缺损的容积替代技术。我们应用球拍状切口的腺内瓣技术治疗 47 例中、小乳房外上象限肿瘤。本研究报告了该技术的初步结果。
我们对 47 例 T1 和 T2 期乳腺癌患者连续应用腺内瓣技术联合球拍状切口进行治疗，并前瞻性分析。
患者的中位年龄为 46.5 岁（范围：24-63 岁）。肿瘤的平均直径为 2.53±0.8cm。切除标本的平均体积为 185±29cm3。切口的平均长度为 9.68±1.8cm。肿瘤到最近手术切缘的平均距离为 1.65±0.4cm。8 例（17%）患者出现脂肪坏死，2 例（4.2%）患者出现血肿。未观察到血清肿、腺体和皮瓣坏死等其他并发症。
对于中、小乳房外上象限肿瘤患者，应用球拍状切口的腺内瓣技术是一种简单、安全的技术，在美容效果、手术切缘和并发症方面具有优势。该技术的学习曲线较短。在致密乳房的患者中，脂肪坏死的发生率较低。
