Shin Eui Sun, Kim Hyo In, Song Seung Yong, Lew Dae Hyun, Lee Dong Won
Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Arch Plast Surg. 2018 Jan;45(1):37-44. doi: 10.5999/aps.2017.00836. Epub 2017 Oct 27.
Oncoplastic surgery is being increasingly performed in Korean women; however, unlike Westerners, Korean women usually have small to moderate-sized breasts. To achieve better outcomes in reconstructed breasts, several factors should be considered to determine the optimal surgical method.
A total of 108 patients who underwent oncoplastic surgery from January 2013 to December 2016 were retrospectively investigated. We used various methods, including glandular tissue reshaping, latissimus dorsi (LD) flap transposition, and reduction oncoplasty, to restore the breast volume and symmetry.
The mean weight of the tumor specimens was 40.46 g, and the ratio of the tumor specimen weight to breast volume was 0.12 g/mL in the patients who underwent glandular tissue reshaping (n=59). The corresponding values were 101.47 g and 0.14 g/mL, respectively, in the patients who underwent reduction oncoplasty (n=17), and 82.54 g and 0.20 g/mL, respectively, in those treated with an LD flap (n=32). Glandular tissue reshaping was mostly performed in the upper outer quadrant, and LD flap transposition was mostly performed in the lower inner quadrant. No major complications were noted. Most patients were satisfied with the aesthetic results.
We report satisfactory outcomes of oncoplastic surgical procedures in Korean patients. The results regarding specimen weight and the tumor-to-breast ratio of Asian patients will be a helpful reference point for determining the most appropriate oncoplastic surgical technique.
肿瘤整形手术在韩国女性中越来越普遍；然而，与西方人不同，韩国女性的乳房通常较小至中等大小。为了在乳房重建中获得更好的效果，应考虑几个因素以确定最佳手术方法。
回顾性调查了2013年1月至2016年12月期间接受肿瘤整形手术的108例患者。我们采用了多种方法，包括腺体组织重塑、背阔肌（LD）皮瓣转移和缩乳肿瘤整形术，以恢复乳房体积和对称性。
接受腺体组织重塑的患者（n = 59），肿瘤标本的平均重量为40.46 g，肿瘤标本重量与乳房体积的比值为0.12 g/mL。接受缩乳肿瘤整形术的患者（n = 17），相应值分别为101.47 g和0.14 g/mL，接受LD皮瓣治疗的患者（n = 32），相应值分别为82.54 g和0.20 g/mL。腺体组织重塑大多在上外象限进行，LD皮瓣转移大多在下内象限进行。未发现重大并发症。大多数患者对美学效果满意。
我们报告了韩国患者肿瘤整形手术的满意结果。亚洲患者的标本重量和肿瘤与乳房比例的结果将有助于确定最合适的肿瘤整形手术技术。
