Giacaman Narmeen, Abu Al-Halawa Diala, Tos Salem M, Ibdah Mohammad G, Sharaf Khaled
Faculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Consultant Oncoplastic Breast Surgeon, Augusta Victoria Hospital, East Jerusalem, Palestine.
Ann Med Surg (Lond). 2022 Nov 17;84:104899. doi: 10.1016/j.amsu.2022.104899. eCollection 2022 Dec.
Oncoplastic breast surgery has become a major player in modern breast surgery.It broadens the indications for breast-conserving surgery. More challenging cases are being treated more with what so-called "extreme oncoplastic breast surgery" which is defined as a breast-conserving operation, using oncoplastic techniques, in a patient who, in most physicians' opinions, requires a mastectomy.
Replacement and/or displacement oncoplastic techniques with contralateral symmetrization to three female patients with breast cancer were done by an oncoplastic breast surgeon.
The three patients had smooth recoveries with good aesthetic,oncologic and psychological outcomes.
Oncoplastic breast surgery can be a better option than mastectomy with good oncologic, Psychological and aesthetic outcomes, even with extreme cases, yet long-term studies are needed.
肿瘤整形乳房手术已成为现代乳房手术的重要组成部分。它拓宽了保乳手术的适应症。越来越多具有挑战性的病例采用所谓的“极限肿瘤整形乳房手术”进行治疗，这种手术被定义为在大多数医生看来需要进行乳房切除术的患者中，采用肿瘤整形技术进行的保乳手术。
一位肿瘤整形乳房外科医生对三名乳腺癌女性患者采用了置换和/或移位肿瘤整形技术并进行对侧对称化处理。
三名患者恢复顺利，在美学、肿瘤学和心理方面都取得了良好的效果。
肿瘤整形乳房手术可能是比乳房切除术更好的选择，即使在极端病例中也能取得良好的肿瘤学、心理和美学效果，但仍需要长期研究。
