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保乳手术缺损重建的适应症与争议

Indications and Controversies in Partial Mastectomy Defect Reconstruction.

作者信息

Honart Jean-François, Reguesse Anne-Sophie, Struk Samuel, Sarfati Benjamin, Rimareix Françoise, Alkhashnam Heba, Kolb Frédéric, Rem Kessara, Leymarie Nicolas

机构信息

Plastic and Reconstructive Surgery Department, Gustave Roussy, 114, Rue Edouard Vaillant, Villejuif 94800, France.

Plastic and Reconstructive Surgery Department, Gustave Roussy, 114, Rue Edouard Vaillant, Villejuif 94800, France.

出版信息

Clin Plast Surg. 2018 Jan;45(1):33-45. doi: 10.1016/j.cps.2017.08.002. Epub 2017 Sep 18.

Abstract

Breast cancer surgical treatment nowadays includes oncoplastic surgery. It is a reliable oncologic surgical treatment, which also prevents functional and aesthetic sequelae, thus improving the patient's quality of life and satisfaction. Numerous techniques have been described, with different levels of complexity and technicality. Their indications differ depending on the global breast volume and the degree of ptosis, on the tumor volume compared with the breast volume, and on the tumor location. This article describes the authors' many years of experience of breast cancer treatment using oncoplastic surgery. They also established a decision-making guide, whose implementation enables treatment of every patient.

摘要

如今,乳腺癌的外科治疗包括肿瘤整形手术。它是一种可靠的肿瘤外科治疗方法,还能预防功能和美学后遗症,从而提高患者的生活质量和满意度。已经描述了许多技术,其复杂程度和技术含量各不相同。它们的适应症因乳房总体积和下垂程度、肿瘤体积与乳房体积的比较以及肿瘤位置而异。本文介绍了作者使用肿瘤整形手术治疗乳腺癌的多年经验。他们还制定了一个决策指南,其实施能够治疗每一位患者。

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