Sato Takanobu
Nihon Geka Gakkai Zasshi. 2016 Nov;117(6):491-6.
Mastectomy and breast-conserving surgery (BCS) are common procedures for treating breast cancer at present. The discovery rate of tumors 2 cm or less in size has risen with the increase in the number of women who receive breast physical examinations, and because of the wider usage of preoperative chemotherapy, BCS has become possible. As a result, the number of women undergoing BCS has increased, whereas the number of those undergoing mastectomy has decreased. However, if radical cure or good cosmetic results cannot be achieved, mastectomy is often offered to patients. Recently, patients have come to expect good cosmetic results after BCS, and because breast reconstruction with implants is now covered by health insurance, it is possible to perform it with mastectomy with the help of plastic surgery if patients desire. Oncoplastic surgery is now the focus of public attention, because it differs from conventional BCS in that it results in no deformity, since the defect created by wide resections is filled with a local tissue flap. It is psychologically important for patients to have satisfactory cosmetic results after BSC.
乳房切除术和保乳手术（BCS）是目前治疗乳腺癌的常见手术。随着接受乳房体格检查的女性人数增加，以及术前化疗的更广泛应用，2厘米或更小尺寸肿瘤的发现率有所上升，这使得保乳手术成为可能。因此，接受保乳手术的女性人数增加，而接受乳房切除术的人数减少。然而，如果无法实现根治或良好的美容效果，通常会为患者提供乳房切除术。最近，患者期望保乳手术后能有良好的美容效果，而且由于植入物乳房重建现在已纳入医疗保险范围，如果患者有需求，在整形外科的帮助下，乳房切除术时可以进行乳房重建。肿瘤整形手术目前备受公众关注，因为它与传统的保乳手术不同，不会导致畸形，因为广泛切除造成的缺损由局部组织瓣填充。保乳手术后让患者获得满意的美容效果在心理上很重要。
