Laronga Christine, Smith Paul
Comprehensive Breast Program, Department of Women's Oncology, Moffitt Cancer Center, 12902 Magnolia Drive, MCC BR-PROG, Tampa, FL 33612, USA; Department of Surgery, University of South Florida, 13220 USF Laurel Drive, Tampa, FL 33612, USA.
Department of Surgery, University of South Florida, 13220 USF Laurel Drive, Tampa, FL 33612, USA.
Surg Oncol Clin N Am. 2014 Jul;23(3):549-66. doi: 10.1016/j.soc.2014.03.013. Epub 2014 Apr 26.
The guiding principles of nipple-sparing mastectomy (complete removal of the breast from its skin and reconstructing without changing the appearance of the breast) are based on patient safety followed by oncologic safety. Recent advances have also taken into account cosmetic outcome. The ultimate in cosmetic outcome after mastectomy with reconstruction includes preservation of the nipple-areola complex, called a nipple-sparing mastectomy. The evidence-based transition and transformation to nipple-sparing mastectomy from both an oncologic standpoint and a cosmetic perspective are outlined in this article.
保乳乳房切除术(从皮肤完整切除乳房并重建,不改变乳房外观)的指导原则基于患者安全,其次是肿瘤学安全。最近的进展也考虑到了美容效果。乳房切除术后重建的最终美容效果包括保留乳头乳晕复合体,即保乳乳房切除术。本文概述了从肿瘤学和美容角度向保乳乳房切除术的循证转变和转化。