Kijima Yuko, Yoshinaka Heiji, Hirata Munetsugu, Nakajo Akihiro, Arima Hideo, Okumura Hiroshi, Arigami Takaaki, Ishigami Sumiya, Natsugoe Shoji
Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, 8-35-1 Sakuragaoka, Kagoshima, 890-8520, Japan,
Surg Today. 2014 Sep;44(9):1783-8. doi: 10.1007/s00595-013-0687-1. Epub 2013 Aug 8.
Oncoplastic breast surgery (OBS), which combines the concepts of oncologic and plastic surgery, is becoming more common worldwide. We herein report the results of OBS in Japanese patients with Paget's disease. We performed OBS combining partial mastectomy with immediate breast reshaping using a keyhole-shaped skin glandular flap in two patients. In these two patients, who were diagnosed as having Paget's disease with a restricted intraductal component in the central area of their non-ptotic breast, we performed oncoplastic surgery combining partial mastectomy with immediate breast reshaping using a keyhole-shaped skin glandular flap. Neither of the two patients received contralateral surgery to produce symmetrical breasts. The observation period ranged from 6 to 12 months, and the bilateral breast volumes and inframammary lines were symmetric. OBS combining partial mastectomy with immediate breast reshaping using a keyhole-shaped skin glandular flap was successfully performed in two patients with Paget's disease.
肿瘤整形乳房手术（OBS）结合了肿瘤学和整形外科学的概念，在全球范围内越来越普遍。我们在此报告日本佩吉特病患者的OBS结果。我们对两名患者进行了OBS，采用钥匙孔状皮肤腺体皮瓣将部分乳房切除术与即刻乳房重塑相结合。在这两名被诊断为佩吉特病且非下垂乳房中央区域导管内成分受限的患者中，我们进行了肿瘤整形手术，采用钥匙孔状皮肤腺体皮瓣将部分乳房切除术与即刻乳房重塑相结合。两名患者均未接受对侧手术以形成对称乳房。观察期为6至12个月，双侧乳房体积和乳房下皱襞对称。采用钥匙孔状皮肤腺体皮瓣将部分乳房切除术与即刻乳房重塑相结合的OBS在两名佩吉特病患者中成功实施。
