Eichbaum M, Dietrich A, Reinhard J, Steinwasser R, Eichbaum C
Frauenklinik St. Marienkrankenhaus Frankfurt am Main, Frankfurt am Main.
Frauenklinik Klinikum Darmstadt, Darmstadt.
Geburtshilfe Frauenheilkd. 2016 Jan;76(1):31-36. doi: 10.1055/s-0035-1568170.
Today over 70 % of patients treated for primary breast carcinoma in certified breast centres are managed with breast conserving surgery. The classical semicircular incision directly above the tumour, though in many cases easily carried out and associated with good cosmetic results, does have limitations. Unsatisfactory aesthetic results often occur when tumour location is unfavourable or when there is unfavourable tumour size relative to breast size. Distortion of the nipple, changes to breast shape and retraction of skin overlying surgical defects can occur. Tumour-adapted reduction mammoplasty/mastopexy or the "modified B technique" offer excellent chances of combining the oncological demands of breast surgery with satisfactory symmetrical cosmetic results. This article reviews a traditional, old operative technique that has been re-embraced in various new forms.
如今，在经认证的乳腺中心接受原发性乳腺癌治疗的患者中，超过70%接受了保乳手术。肿瘤正上方的经典半圆形切口，尽管在许多情况下易于实施且美容效果良好，但确实存在局限性。当肿瘤位置不佳或肿瘤大小与乳房大小不相称时，往往会出现不尽人意的美学效果。乳头变形、乳房形状改变以及手术缺损上方皮肤回缩都可能发生。肿瘤适应性缩乳成形术/乳房固定术或“改良B技术”为将乳腺癌手术的肿瘤学要求与令人满意的对称美容效果相结合提供了绝佳机会。本文回顾了一种传统的、古老的手术技术，该技术已以各种新形式重新被采用。
