[乳房切除术中乳头乳晕复合体的保留]

[Conservation of the nipple-areola complex in case of mastectomy].

作者信息

Cohen M, Bannier M, Lambaudie E, Chéreau-Ewald E, Buttarelli M, Jauffret C, Houvenaeghel G

机构信息

Chirurgie oncologie, institut Paoli-Calmettes, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France.

出版信息

Gynecol Obstet Fertil. 2014 Apr;42(4):246-51. doi: 10.1016/j.gyobfe.2014.02.003. Epub 2014 Mar 27.

DOI:10.1016/j.gyobfe.2014.02.003

PMID:24679601

Abstract

Nipple-Sparing Mastectomy (NSM) is a procedure with skin-sparing mastectomy and nipple-areolar complex preservation in association with immediate reconstruction. The aim of this publication is to perform a review of oncological results, technical procedure, complications and indications of NSM with discussion of post-mastectomy radiotherapy indication. Local areolar recurrence is rare and treatment is performed by resection of the nipple-areolar complex. The nipple-areolar complex necrosis rate is a specific complication, observed between 1 to 30% in literature studies. Incisions and surgical procedure of dissection are discussed.

摘要

保留乳头的乳房切除术（NSM）是一种保留皮肤的乳房切除术，同时保留乳头乳晕复合体，并立即进行乳房重建。本出版物的目的是对NSM的肿瘤学结果、技术操作、并发症和适应症进行综述，并讨论乳房切除术后放疗的适应症。局部乳晕复发很少见，通过切除乳头乳晕复合体进行治疗。乳头乳晕复合体坏死率是一种特殊的并发症，在文献研究中的发生率为1%至30%。文中还讨论了切口和手术解剖操作。