Kijima Yuko, Hirata Munetsugu, Higo Naotomo, Nakazawa Yumika, Shinmura Kazuya
Department of Breast Surgery, School of Medicine, Fujita Health University, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi, 470-1192, Japan.
Surg Today. 2025 Feb;55(2):288-292. doi: 10.1007/s00595-024-02892-0. Epub 2024 Jul 5.
Treatment of early breast cancer using breast-conserving surgery (BCS) commonly leads to local control and acceptable cosmetic results. We report a useful technique to achieve symmetry of the breast shape and nipple-areola, with excellent results. A Japanese patient with early breast cancer located in the inner central area of the breast was enrolled in this study. Intraductal spread of breast cancer to the nipple was suspected; however, no invasion was observed outside the nipple wall. We preserved the cylindrical surface, but resected the inner tissue with the top surface of the nipple. After coring the nipple, the remnant cylindrical surface was cut into a spiral shape. Nipple reconstruction using the spiral-peeling technique during oncoplastic breast-conserving surgery (OPBCS) may be useful for patients who desire nipple preservation.
采用保乳手术（BCS）治疗早期乳腺癌通常可实现局部控制并获得可接受的美容效果。我们报告了一种实现乳房形状和乳头乳晕对称的有用技术，效果极佳。一名位于乳房内中央区域的早期乳腺癌日本患者纳入本研究。怀疑乳腺癌导管内播散至乳头；然而，未观察到乳头壁外有浸润。我们保留了圆柱面，但切除了乳头顶面的内部组织。在乳头打孔后，将剩余的圆柱面切成螺旋形。在肿瘤整形保乳手术（OPBCS）期间使用螺旋剥离技术进行乳头重建可能对希望保留乳头的患者有用。
