Department of General Surgery, Division of Breast Services, Cleveland Clinic, Cleveland, OH, USA.
Department of Plastic and Reconstructive Surgery, Cleveland Clinic, Cleveland, OH, USA.
Breast Dis. 2020;39(2):101-104. doi: 10.3233/BD-190424.
We present a case of surgical removal of primary amyloidosis of the breast utilizing an oncoplastic reduction pattern technique. Primary amyloidosis of the breast is a very rare benign disease characterized by accumulation of insoluble amyloid protein. Biopsy is required for definitive diagnosis, and surgical removal of the mass with clear margins is the main treatment for primary amyloidosis. Oncoplastic reduction pattern technique allows for removal of large breast lesions and correction of the resulting defect by combining the extirpative principles of surgical oncology with the aesthetic principles of breast reduction surgery.
我们报告了一例利用肿瘤整形缩小技术切除乳腺原发性淀粉样变性的病例。乳腺原发性淀粉样变性是一种非常罕见的良性疾病，其特征是不可溶性淀粉样蛋白的积累。明确诊断需要进行活检，而手术切除肿块并保证切缘清晰是治疗原发性淀粉样变性的主要方法。肿瘤整形缩小技术通过将肿瘤外科的根治性原则与乳房缩小手术的美学原则相结合，使我们能够切除大的乳房病变并纠正由此产生的缺陷。
