Department of Plastic and Reconstructive Surgery, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Medicine (Baltimore). 2022 Aug 5;101(31):e29349. doi: 10.1097/MD.0000000000029349.
Postoperative assessment of breast reconstruction results has become increasingly important. In this paper, a unique analysis method with 3-dimensional surface images of patients who were treated with immediate breast reconstruction is presented.
Five Japanese women were suspected of having breast cancer and visited our hospital for treatment.
Breast cancer was diagnosed by biopsy, mammography, ultrasonography, computed tomography, and magnetic resonance imaging.
Five patients underwent nipple/skin-sparing mastectomy, concomitant sentinel lymph node biopsy, and immediate breast reconstruction in our hospital. Three cases were reconstructed by extended latissimus dorsi flaps, one was reconstructed by a pedicled transverse rectus abdominis myocutaneous flap, and one was reconstructed by a deep inferior epigastric artery perforator flap. Three-dimensional photographs were taken 1 year postoperatively. The similarity of the breast contours between the reconstructed breast and the nonaffected opposite breast obtained from 3-dimensional images was analyzed. The calculated value is called the breast contour score.
No recurrence was observed during the follow-up period in any cases. All cases could be analyzed by breast contour score to evaluate the breast shapes.
The scores become a relative value that ranges from 0 (completely different) to 100 (completely the same). By expressing the score as a relative value, the breast contour score could help us understand the degree of breast symmetry more intuitively.
乳房重建术后评估变得越来越重要。本文提出了一种独特的分析方法，即利用接受即刻乳房重建患者的三维表面图像进行分析。
5 名日本女性疑似患有乳腺癌，前往我院就诊。
通过活检、乳房 X 线照相术、超声检查、计算机断层扫描和磁共振成像诊断为乳腺癌。
5 名患者在我院接受了乳头/皮肤保留乳房切除术、同时进行前哨淋巴结活检和即刻乳房重建。3 例采用扩展背阔肌皮瓣重建，1 例采用带蒂腹直肌横肌肌皮瓣重建，1 例采用腹壁下动脉穿支皮瓣重建。术后 1 年拍摄三维照片。从三维图像分析重建乳房和未受影响的对侧乳房的乳房轮廓相似性。计算得到的数值称为乳房轮廓评分。
随访期间所有病例均未观察到复发。所有病例均可通过乳房轮廓评分进行分析，以评估乳房形状。
评分成为一个介于 0（完全不同）到 100（完全相同）的相对值。通过将评分表示为相对值，可以更直观地了解乳房对称性的程度。
