Wignarajah Primeera, Malata Charles M, Benson John R
Department of Breast Surgery, Royal Marsden Hospital NHS Trust, London, United Kingdom.
Department of Breast Surgery, Cambridge Breast Unit, Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Front Oncol. 2023 Jun 28;13:1176915. doi: 10.3389/fonc.2023.1176915. eCollection 2023.
This article provides an overview of the principles and techniques of oncoplastic and reconstructive breast surgery for patients with early-stage breast cancer. Oncoplastic breast surgery (OPBS) with partial breast reconstruction is a natural evolution in the application of breast conserving surgery and permits wide surgical resection of tumours that might otherwise mandate mastectomy and whole breast reconstruction. These reconstructive techniques must be optimally selected and integrated with ablative breast surgery together with non-surgical treatments such as radiotherapy and chemotherapy that may be variably sequenced with each other. A multidisciplinary approach with shared decision-making is essential to ensure optimal clinical and patient-reported outcomes that address oncological, aesthetic, functional and psychosocial domains. Future practice of OPBS must incorporate routine audit and comprehensive evaluation of outcomes.
本文概述了早期乳腺癌患者肿瘤整形与乳房重建手术的原则和技术。采用部分乳房重建的肿瘤整形乳房手术(OPBS)是保乳手术应用中的自然发展,它允许广泛切除肿瘤,否则可能需要进行乳房切除术和全乳重建。这些重建技术必须经过优化选择,并与乳房切除手术以及放疗和化疗等非手术治疗相结合,这些非手术治疗可能会相互交替进行。采用共同决策的多学科方法对于确保在肿瘤学、美学、功能和心理社会领域取得最佳临床和患者报告结果至关重要。OPBS的未来实践必须纳入常规审计和对结果的全面评估。
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