Department of Breast Surgery, School of Medicine, Fujita Health University, 1-98 Dengakugakubo, Kutsukakecho, Toyoake, Aichi, 470-1192, Japan.
Department of Digestive Surgery, School of Medicine, Fujita Health University, 1-98 Dengakugakubo, Kutsukakecho, Toyoake, Aichi, 470-1192, Japan.
Breast Cancer. 2019 Jul;26(4):529-534. doi: 10.1007/s12282-019-00948-5. Epub 2019 Jan 25.
Oncoplastic breast surgery (OBS), which combines the concepts of oncologic and plastic surgery, is becoming more common worldwide. We report the results of OBS in a Japanese patient with early breast cancer located on the outer lower quadrant area. We performed OBS combining partial mastectomy with immediate breast reshaping using multiple adipofascial cutaneous flaps and free dermal fat graft because she refused any other OBS. We selected three local flaps to repair the defect. Perioperative and postoperative complications were not seen. The cosmetic findings 3 years after surgery were not excellent, but the patient was satisfied with the results. OBS combining partial mastectomy with immediate breast reshaping using a combination of several flaps was successfully performed in a patient with early breast cancer.
肿瘤整形乳房切除术（OBS）结合了肿瘤学和整形外科学的概念，在全球范围内越来越普遍。我们报告了一位位于外下象限区域早期乳腺癌日本患者的 OBS 结果。由于她拒绝其他任何 OBS，我们采用了结合部分乳房切除术和即刻乳房重塑的 OBS，使用了多个脂肪筋膜皮瓣和游离真皮脂肪移植。我们选择了三个局部皮瓣来修复缺损。没有出现围手术期和术后并发症。术后 3 年的美容效果并不理想，但患者对结果满意。我们成功地为一位早期乳腺癌患者实施了结合部分乳房切除术和即刻乳房重塑的 OBS，使用了几种皮瓣的组合。
