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肿瘤整形与乳房重建手术。

Oncoplastic and reconstructive breast surgery.

作者信息

Wignarajah Primeera, Malata Charles M, Benson John R

机构信息

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.

出版信息

Front Oncol. 2023 Jun 28;13:1176915. doi: 10.3389/fonc.2023.1176915. eCollection 2023.


DOI:10.3389/fonc.2023.1176915
PMID:37448512
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10338173/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/fc0a0c200626/fonc-13-1176915-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/4bba9237bf28/fonc-13-1176915-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/b7dcf996e149/fonc-13-1176915-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/fd1bc67d59be/fonc-13-1176915-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/e249c5db64d5/fonc-13-1176915-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/5fcd166312df/fonc-13-1176915-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/f6564363327b/fonc-13-1176915-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/1855cead103e/fonc-13-1176915-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/3e4d185d0996/fonc-13-1176915-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/0a72e5132a1f/fonc-13-1176915-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/927f9f93a5ba/fonc-13-1176915-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/7d6758907428/fonc-13-1176915-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/ff858a742643/fonc-13-1176915-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/fc0a0c200626/fonc-13-1176915-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/4bba9237bf28/fonc-13-1176915-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/b7dcf996e149/fonc-13-1176915-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/fd1bc67d59be/fonc-13-1176915-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/e249c5db64d5/fonc-13-1176915-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/5fcd166312df/fonc-13-1176915-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/f6564363327b/fonc-13-1176915-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/1855cead103e/fonc-13-1176915-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/3e4d185d0996/fonc-13-1176915-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/0a72e5132a1f/fonc-13-1176915-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/927f9f93a5ba/fonc-13-1176915-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/7d6758907428/fonc-13-1176915-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/ff858a742643/fonc-13-1176915-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd77/10338173/fc0a0c200626/fonc-13-1176915-g013.jpg

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引用本文的文献

[1]
Reduce Flap Necrosis After Autologous Breast Reconstruction: A Systematic Review.

J Craniofac Surg. 2025-9-1

[2]
Impact of Mastectomy Flap Necrosis on Patient-Reported Quality-of-Life Measures After Nipple-Sparing Mastectomy: A Preliminary Analysis.

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[3]
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[4]
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本文引用的文献

[1]
An Algorithm for Selecting Buoy Skin Paddle Design for Flap Monitoring in Total Autologous Breast Reconstruction After Nipple-Sparing Mastectomy.

Cureus. 2023-1-6

[2]
Patient-Reported Outcomes After Autologous Fat Grafting in Prosthetic Breast Reconstruction: Prospective Cohort Study Using a Multivariate Analysis.

Ann Plast Surg. 2023-2-1

[3]
Prepectoral Versus Subpectoral Implant-Based Breast Reconstruction: A Systemic Review and Meta-analysis.

Ann Surg Oncol. 2023-1

[4]
An analysis of complication rates and the influence on patient satisfaction and cosmetic outcomes following oncoplastic breast surgery.

J Plast Reconstr Aesthet Surg. 2022-11

[5]
Postmenopausal overweight and breast cancer risk; results from the KARMA cohort.

Breast Cancer Res Treat. 2022-11

[6]
Breast-conserving surgery with the geometric compensation/split reduction technique. Indications, oncologic safety and cosmesis. A cohort series and systematic review of the literature.

Surg Oncol. 2022-9

[7]
Psychosocial and sexual well-being in breast cancer survivors undergoing immediate breast reconstruction: The mediating role of breast satisfaction.

Eur J Cancer Care (Engl). 2022-11

[8]
Breast cancer recurrence after immediate and delayed postmastectomy breast reconstruction-A systematic review and meta-analysis.

Cancer. 2022-10-1

[9]
Text mining and word embedding for classification of decision making variables in breast cancer surgery.

Eur J Surg Oncol. 2022-7

[10]
Long-term quality of life and aesthetic outcomes after breast conserving surgery in patients with breast cancer.

Eur J Surg Oncol. 2022-8

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