Habibi Mehran, Broderick Kristen P, Sebai Mohamad E, Jacobs Lisa K
Department of Surgery, Johns Hopkins University, 4940 Eastern Avenue, Room A-562, Baltimore, MD 21224, USA.
Department of Plastic and Reconstructive Surgery, Johns Hopkins University, 4940 Eastern Avenue, Suite A 520, Baltimore, MD 21224, USA.
Surg Oncol Clin N Am. 2018 Jan;27(1):167-180. doi: 10.1016/j.soc.2017.07.007.
Oncoplastic surgery of the tissue defect from partial mastectomy should be considered for all patients. It can result in in significant asymmetries from scar contraction, skin tethering, and alterations in the nipple areolar complex location. Indications, risks, and benefits are discussed. Optimal procedures are described, considering resected specimen volume, primary tumor location, tumor to breast size ratio, and the impact on the nipple areolar complex. Indications for plastic surgery consultation and joint surgery are discussed. Surgical management includes incision planning, preservation of the nipple areolar complex pedicle and position, patient positioning, incision location, and recovery.
所有患者均应考虑进行保乳手术组织缺损的肿瘤整形手术。它可能会因瘢痕挛缩、皮肤牵拉以及乳头乳晕复合体位置改变而导致明显的不对称。本文讨论了手术指征、风险和益处。考虑切除标本体积、原发肿瘤位置、肿瘤与乳房大小比例以及对乳头乳晕复合体的影响，描述了最佳手术方法。还讨论了整形手术咨询和联合手术的指征。手术管理包括切口规划、乳头乳晕复合体蒂部和位置的保留、患者体位、切口位置及恢复情况。
