Cil Tulin D, McCready David
Department of Surgery, University of Toronto, Women's College Hospital, Room 8331, 76 Grenville Street, Toronto, Ontario M5S 1B2, Canada.
Breast Surgical Oncology, University of Toronto, Princess Margaret Cancer Centre, University Health Network, Room 3-130, 610 University Avenue, Toronto, Ontario M5G2M9, Canada.
Clin Plast Surg. 2018 Jan;45(1):1-11. doi: 10.1016/j.cps.2017.07.002. Epub 2017 Oct 5.
The armamentarium of the modern breast surgeon includes the time-tested procedures of modified radical mastectomy and lumpectomy with sentinel lymph node biopsy with postoperative radiation, but has evolved to include several options that produce excellent oncologic endpoints and improved cosmesis. These options include skin- and nipple-sparing mastectomies with immediate reconstruction as well as oncoplastic procedures that allow larger excisions and better postoperative breast shape. This article provides an overview of these modern surgical approaches for breast cancer treatment.
现代乳腺外科医生的手术器械包括经过时间考验的改良根治性乳房切除术和保乳手术加前哨淋巴结活检并术后放疗等方法，但已发展到包括几种能产生极佳肿瘤学结局并改善美容效果的选择。这些选择包括保留皮肤和乳头的乳房切除术并即刻重建，以及允许更大范围切除并获得更好术后乳房外形的肿瘤整形手术。本文概述了这些用于乳腺癌治疗的现代手术方法。
