Gottlieb J R, McKinney P, Walkinshaw M D, Sperling R L
Division of Plastic Surgery, University of Washington, Seattle 98104.
Aesthetic Plast Surg. 1989 Fall;13(4):279-83. doi: 10.1007/BF01570361.
Seven patients who had breast reduction surgery and whose preoperative physical examinations were unremarkable were found to have breast carcinoma. In the five in whom mastectomy was performed, most closures were difficult, and in one patient bilateral mastectomy was complicated by wound dehiscence. In only one of these seven was it possible to obtain information regarding the hormonal binding status of the tumor cells. These and other sequelae would not have occurred had the tumors been diagnosed before operation. Because physical examination alone is not sufficiently sensitive for the diagnosis of breast cancer, we suggest that mammography be included in the evaluation of patients consulting surgeons for breast reduction.
7例接受过乳房缩小手术且术前体格检查无异常的患者被发现患有乳腺癌。在接受乳房切除术的5例患者中，大多数伤口缝合困难，1例双侧乳房切除术后出现伤口裂开并发症。这7例患者中只有1例能够获得有关肿瘤细胞激素结合状态的信息。如果这些肿瘤在手术前被诊断出来，这些及其他后遗症就不会发生。由于仅靠体格检查对乳腺癌的诊断不够敏感，我们建议在对因乳房缩小而咨询外科医生的患者进行评估时应包括乳房X线摄影检查。
