O'Connell Rachel L, Rusby Jennifer E
Royal Marsden NHS Foundation Trust, Sutton, UK.
Gland Surg. 2015 Dec;4(6):476-83. doi: 10.3978/j.issn.2227-684X.2015.02.06.
Knowledge of the anatomy of the nipple and breast skin is fundamental to any surgeon practicing conservative mastectomies. In this paper, the relevant clinical anatomy will be described, mainly focusing on the anatomy of the "oncoplastic plane", the ducts and the vasculature. We will also cover more briefly the nerve supply and the arrangement of smooth muscle of the nipple. Finally the lymphatic drainage of the nipple and areola will be described. An appreciation of the relevant anatomy, together with meticulous surgical technique may minimise local recurrence and ischaemic complications.
对于任何实施保乳手术的外科医生而言，了解乳头和乳房皮肤的解剖结构至关重要。在本文中，将描述相关的临床解剖结构，主要聚焦于“肿瘤整形平面”、导管和脉管系统的解剖结构。我们还将简要介绍乳头的神经供应和平滑肌的分布。最后将描述乳头和乳晕的淋巴引流。了解相关解剖结构并结合细致的手术技巧，可将局部复发和缺血性并发症降至最低。
