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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.

DOI:10.1016/j.cps.2017.08.002
PMID:29080658
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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1
Indications and Controversies in Partial Mastectomy Defect Reconstruction.保乳手术缺损重建的适应症与争议
Clin Plast Surg. 2018 Jan;45(1):33-45. doi: 10.1016/j.cps.2017.08.002. Epub 2017 Sep 18.
2
Oncoplastic and reconstructive surgery of the breast.乳房肿瘤整形与重建外科。
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Standardization of oncoplastic breast conserving surgery.肿瘤整形保乳手术的标准化
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Oncoplastic surgery; volume displacement techniques for breast conserving surgery in patients with breast cancer.肿瘤整形手术;乳腺癌患者保乳手术中的容积置换技术
Acta Chir Belg. 2017 Jun;117(3):169-175. doi: 10.1080/00015458.2016.1272916. Epub 2017 Jan 5.
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Conservative and radical oncoplastic approches in the surgical treatment of breast cancer.乳腺癌手术治疗中的保守和根治性肿瘤整形方法。
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Oncoplastic breast surgery: comprehensive review.肿瘤整形乳房手术:全面综述。
Eur Rev Med Pharmacol Sci. 2017 Jun;21(11):2572-2585.
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Oncoplastic principles in breast conserving surgery.保乳手术中的肿瘤整形原则。
Breast. 2011 Oct;20 Suppl 3:S92-5. doi: 10.1016/S0960-9776(11)70302-2.
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Considerations in Oncoplastic Surgery.肿瘤整形手术的注意事项
Adv Exp Med Biol. 2021;1187:525-544. doi: 10.1007/978-981-32-9620-6_28.
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[Glandular posterior flap of the breast for oncoplastic surgery].[用于肿瘤整形手术的乳房腺体后皮瓣]
J Gynecol Obstet Biol Reprod (Paris). 2015 Jun;44(6):510-5. doi: 10.1016/j.jgyn.2014.07.002. Epub 2014 Sep 4.
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Oncoplastic breast surgery: Achieving oncological and aesthetic outcomes.肿瘤整形乳房手术:实现肿瘤学和美学效果。
J Surg Oncol. 2017 Aug;116(2):195-202. doi: 10.1002/jso.24634. Epub 2017 May 2.

引用本文的文献

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Racquet Mammoplasty as an Oncoplastic Technique in the Management of Lateral Quadrant Breast Cancer: A Prospective Controlled Study of Oncologic and Cosmetic Outcomes.球拍状乳房成形术作为外侧象限乳腺癌治疗中的肿瘤整形技术:一项关于肿瘤学和美容效果的前瞻性对照研究
Medicina (Kaunas). 2025 Mar 19;61(3):539. doi: 10.3390/medicina61030539.
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Extreme Oncoplastic Breast Surgery: A case series of three patients from a lower-middle income country.极端肿瘤整形乳房手术:来自一个中低收入国家的三例病例系列
Ann Med Surg (Lond). 2022 Nov 17;84:104899. doi: 10.1016/j.amsu.2022.104899. eCollection 2022 Dec.
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Innovative Standards in Oncoplastic Breast Conserving Surgery: From Radical Mastectomy to Extreme Oncoplasty.
肿瘤整形保乳手术的创新标准:从根治性乳房切除术到极致肿瘤整形术。
Breast Care (Basel). 2021 Dec;16(6):559-573. doi: 10.1159/000518992. Epub 2021 Sep 16.
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Aesthetic breast surgery: putting in context-a narrative review.美容乳房手术:背景介绍——一篇叙述性综述
Gland Surg. 2021 Sep;10(9):2832-2846. doi: 10.21037/gs-20-892.
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Retrospective review of 108 breast reconstructions using the round block technique after breast-conserving surgery: Indications, complications, and outcomes.对108例保乳手术后采用圆形块状技术进行乳房重建的回顾性研究:适应症、并发症及结果。
Arch Plast Surg. 2020 Nov;47(6):574-582. doi: 10.5999/aps.2020.00325. Epub 2020 Nov 15.
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A Novel Level I Oncoplastic Surgery Technique for Tumors Located in UIQ of the Breast Far from the Nipple: The "Cross" Technique.一种用于位于乳腺上外象限远离乳头的肿瘤的新型一级肿瘤整形手术技术:“十字”技术。
Plast Reconstr Surg Glob Open. 2019 Jul 26;7(7):e2269. doi: 10.1097/GOX.0000000000002269. eCollection 2019 Jul.
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Increasing Role of Oncoplastic Surgery for Breast Cancer.乳腺癌中整形手术作用的提升。
Curr Oncol Rep. 2019 Dec 14;21(12):111. doi: 10.1007/s11912-019-0860-9.