Clough Krishna B, Benyahi Djazia, Nos Claude, Charles Caroline, Sarfati Isabelle
L'Institut du Sein - Paris Breast Center, Paris, France.
Breast J. 2015 Mar-Apr;21(2):140-6. doi: 10.1111/tbj.12372. Epub 2015 Feb 12.
In recent decades, the surgical management of breast cancer has steadily and considerably improved. Mutilating procedures have given way to more individualized surgical approaches aiming to preserve the breast as much as possible. For large tumors, preoperative chemotherapy is a major tool, but emerging oncoplastic surgery techniques are also a new approach in the armamentarium of breast cancer surgery, as a third option between conventional breast-conserving surgery and mastectomy. As this new treatment modality allows wider margin excision, it reduces the need for re-excision procedures and possibly increases breast conservation rates by extending the indications of breast-conserving surgery. This review will provide an overview of current practices and clinical data available to date on oncoplastic surgery.
近几十年来，乳腺癌的外科治疗取得了稳步且显著的进展。致残性手术已被更个体化的手术方法所取代，这些方法旨在尽可能多地保留乳房。对于大型肿瘤，术前化疗是主要手段，但新兴的肿瘤整形手术技术也是乳腺癌手术治疗手段中的一种新方法，是传统保乳手术和乳房切除术之间的第三种选择。由于这种新的治疗方式允许更广泛的切缘切除，它减少了再次切除手术的需求，并可能通过扩大保乳手术的适应症来提高保乳率。本综述将概述目前肿瘤整形手术的实践情况和现有临床数据。
