Calì Cassi L, Vanni G, Petrella G, Orsaria P, Pistolese C, Lo Russo G, Innocenti M, Buonomo O
General Surgery and Breast Surgery, University of Tor Vergata, Rome, Italy.
Eur Rev Med Pharmacol Sci. 2016 Jul;20(14):2950-4.
Breast conserving surgery (BCS) followed by radiotherapy is the standard of care for most patients with early breast cancers; however, the aesthetic outcomes of this procedure is not always desirable. Oncoplastic breast surgery is an innovative approach that aims at the safe and effective treatment of the cancerous lesion while achieving the best possible aesthetic outcome. The aim of this study was to evaluate and compare oncoplastic and non-oncoplastic procedures.
A retrospective observational study was conducted on a group of patients who underwent oncoplastic or non-oncoplastic breast surgery at the Breast Unit of the University of Rome Tor Vergata.
Out of 211 patients, 154 (73%) underwent non-oncoplastic surgery, while 61 (27%) underwent an oncoplastic procedure. The percentage of patients requiring re-excision was twice greater for women in the non-oncoplastic group: 12.9% vs. 6.5% in the oncoplastic group. The rate of complications was higher in the oncoplastic group compared to the non-oncoplastic one (4.9% vs. 1.3%). The size of the tumor, the number of the patients receiving post-operative radiation, the interval between surgery and radiotherapy and follow-up were similar between the two groups.
Oncoplastic surgery represents a valid alternative to breast conserving surgery for patients with breast cancer, with only minimal differences in long-term complications and similar results in terms of local recurrence and number of metastasis.
保乳手术（BCS）联合放疗是大多数早期乳腺癌患者的标准治疗方法；然而，该手术的美学效果并不总是令人满意。肿瘤整形乳房手术是一种创新方法，旨在安全有效地治疗癌性病变，同时实现尽可能好的美学效果。本研究的目的是评估和比较肿瘤整形手术和非肿瘤整形手术。
对在罗马第二大学乳房科接受肿瘤整形或非肿瘤整形乳房手术的一组患者进行了回顾性观察研究。
在211例患者中，154例（73%）接受了非肿瘤整形手术，而61例（27%）接受了肿瘤整形手术。非肿瘤整形组女性患者需要再次切除的比例是非肿瘤整形组的两倍：肿瘤整形组为12.9%，非肿瘤整形组为6.5%。肿瘤整形组的并发症发生率高于非肿瘤整形组（4.9%对1.3%）。两组患者的肿瘤大小、接受术后放疗的患者数量、手术与放疗之间的间隔以及随访情况相似。
对于乳腺癌患者，肿瘤整形手术是保乳手术的一种有效替代方法，在长期并发症方面只有微小差异，在局部复发和转移数量方面结果相似。
