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采用即刻自体组织重建的中央乳腺切除术治疗复发性导管周围脓毒症：肿瘤整形手术技术的应用

Central breast excision with immediate autologous reconstruction for recurrent periductal sepsis: an application of oncoplastic surgical techniques.

作者信息

Gore Sinclair M, Wishart Gordon C, Malata Charles M

出版信息

Eplasty. 2012;12:e34. Epub 2012 Aug 1.

PMID:22893784
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3410697/
Abstract

OBJECTIVE

The aim of this procedure was to definitively treat periductal mastitis and periareolar sepsis which was previously resistant to multiple surgical procedures and nonoperative treatment of chronic nipple sepsis.

METHODS

We employed a multidisciplinary approach to the treatment of end-stage periductal mastitis using a combination of central breast excision and immediate autologous latissimus dorsi flap reconstruction.

RESULTS

Clearance of periductal mastitis and infection has been achieved with no recurrence at 3 years. Good symmetry of breast shape and volume has been achieved using this technique.

CONCLUSIONS

This method of partial breast reconstruction, commonly used for reconstruction of breast cancer ablative defects, may also provide good outcomes in nonmalignant disease.

摘要

目的

本手术的目的是根治导管周围乳腺炎和乳晕周围脓毒症，这些病症先前对多种外科手术及慢性乳头脓毒症的非手术治疗均有抵抗。

方法

我们采用多学科方法治疗终末期导管周围乳腺炎，联合应用乳房中央切除术及即刻自体背阔肌肌皮瓣重建术。

结果

导管周围乳腺炎及感染已消除，3年无复发。应用该技术已实现乳房形状和体积的良好对称。

结论

这种常用于乳腺癌切除术后缺损重建的部分乳房重建方法，在非恶性疾病中也可能取得良好效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4624/3410697/4f50b7860965/eplasty12e34_fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4624/3410697/23cbf14e99dd/eplasty12e34_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4624/3410697/9139a18136b8/eplasty12e34_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4624/3410697/671c3a923c02/eplasty12e34_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4624/3410697/b46b05412b03/eplasty12e34_fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4624/3410697/4f50b7860965/eplasty12e34_fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4624/3410697/23cbf14e99dd/eplasty12e34_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4624/3410697/9139a18136b8/eplasty12e34_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4624/3410697/671c3a923c02/eplasty12e34_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4624/3410697/b46b05412b03/eplasty12e34_fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4624/3410697/4f50b7860965/eplasty12e34_fig5.jpg

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本文引用的文献

1
Microdochectomy for single-duct pathologic nipple discharge and normal or benign imaging and cytology.针对单导管病理性乳头溢液且影像学及细胞学检查正常或为良性情况的微小乳管切除术。
Breast. 2008 Jun;17(3):309-13. doi: 10.1016/j.breast.2007.11.008. Epub 2008 Jan 22.
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Oncoplastic techniques allow breast-conserving treatment in centrally located breast cancers.肿瘤整形技术可实现对位于乳房中央部位的乳腺癌进行保乳治疗。
Plast Reconstr Surg. 2007 Aug;120(2):390-398. doi: 10.1097/01.prs.0000267328.09246.02.
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The role of major duct excision and microdochectomy in the detection of breast carcinoma.
大导管切除及微小导管切除术在乳腺癌检测中的作用
BMC Cancer. 2006 Jun 23;6:164. doi: 10.1186/1471-2407-6-164.
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Therapeutic mammaplasty for centrally located breast tumors.
Plast Reconstr Surg. 2006 Feb;117(2):366-73. doi: 10.1097/01.prs.0000200874.31320.c2.
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Latissimus dorsi mini-flap: a technique for extending breast conservation.背阔肌微型皮瓣：一种扩大保乳范围的技术。
Breast. 2002 Feb;11(1):58-65. doi: 10.1054/brst.2001.0312.
6
Breast-sparing reconstruction with latissimus dorsi miniflaps.背阔肌微型皮瓣保乳重建术。
Eur J Surg Oncol. 2002 Dec;28(8):891-5. doi: 10.1053/ejso.2002.1350.
7
Periductal mastitis and duct ectasia: different conditions with different aetiologies.导管周围乳腺炎和导管扩张症：病因不同的两种病症。
Br J Surg. 1996 Jun;83(6):820-2. doi: 10.1002/bjs.1800830630.