带蒂胸大肌肌筋膜瓣用于上内象限乳腺癌的肿瘤整形保乳手术
Oncoplastic Breast-Conserving Surgery for Upper Inner Quadrant Breast Cancer Using Pedicled Pectoralis Major Myofascial Flap.
作者信息
Hu Jie Jie, Qin Chengdong, Liu Siyuan, Zhu Meizhen, Xia Xianghou, Liang Chenlu, Mao Jiefei, Zhang Fanrong, Yu Yang
机构信息
Breast Cancer Department, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, 310022, People's Republic of China.
Postgraduate Training Base Alliance of Wenzhou Medical University, Hangzhou, Zhejiang, 310022, People's Republic of China.
出版信息
Cancer Manag Res. 2024 Dec 10;16:1747-1752. doi: 10.2147/CMAR.S472263. eCollection 2024.
BACKGROUND
Oncoplastic breast-conserving surgery (OBCS) has emerged as a pivotal approach in the management of breast cancer, ensuring both oncological safety and aesthetic outcomes. However, challenges persist, particularly in upper inner quadrant (UIQ) tumors, where achieving satisfactory cosmetic results while preserving oncological integrity remains intricate.
METHODS
15 patients with UIQ breast cancer received OBCS using a pedicled pectoralis major myofascial flap (PMMF). All medical records, preoperative imaging findings, and post-operative data were gathered retrospectively.
RESULTS
This study showed good cosmetic outcomes after OBCS of the upper inner pole and the patients were satisfied with the results. There were no recurrences or metastases in any of the patients.
CONCLUSION
PMMF as a technique is reliable blood supply, easy to master, no need for additional incision, and minimal surgical trauma and functional impact.
背景
肿瘤整形保乳手术（OBCS）已成为乳腺癌治疗的关键方法，可确保肿瘤学安全性和美学效果。然而，挑战依然存在，尤其是在上内象限（UIQ）肿瘤中，在保持肿瘤学完整性的同时实现令人满意的美容效果仍然很复杂。
方法
15例UIQ乳腺癌患者接受了带蒂胸大肌肌筋膜瓣（PMMF）的OBCS。回顾性收集所有病历、术前影像学检查结果和术后数据。
结果
本研究显示上内极OBCS术后美容效果良好，患者对结果满意。所有患者均无复发或转移。
结论
PMMF技术血供可靠，易于掌握，无需额外切口，手术创伤和功能影响最小。
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