Dinner M I, Dowden R V
Cancer. 1984 Feb 1;53(3 Suppl):809-14. doi: 10.1002/1097-0142(19840201)53:3+<809::aid-cncr2820531333>3.0.co;2-m.
Some variant of mastectomy remains the mainstay of the treatment of the primary tumor for the vast majority of the 110,000 new cases of cancer of the breast which will be treated this year in the United States. Reconstruction of the breast after ablation for cancer has become an integral part of the therapeutic regimen of this disease. With the increase in availability and dissemination of information about reconstruction, women expect the opportunity to discuss the options of such surgical rehabilitation after mastectomy. The three major questions arise in regard to reconstruction of the breast: (1) Who should be reconstructed? (2) When should the reconstruction be performed? (3) How should the goals of reconstruction be realized? In answer to these questions, healthy reconstruction is available for any patient, provided she is well enough to undergo the surgical procedure. This may be performed immediately at the time of the ablative mastectomy or delayed for a period of 3 months or more. The nature of the reconstructive procedure is tailored according to the nature of the mastectomy and residual deformity. The authors present their philosophy as to who should be reconstructed, when the optimum time is for this procedure, and their techniques for fulfilling these goals.
在美国，今年将接受治疗的11万例新发乳腺癌病例中，绝大多数患者的原发性肿瘤治疗仍以某种形式的乳房切除术为主。癌症切除术后的乳房重建已成为这种疾病治疗方案中不可或缺的一部分。随着乳房重建信息的可得性增加和传播，女性期望有机会讨论乳房切除术后这种手术康复的选择。关于乳房重建出现了三个主要问题：（1）谁应该接受重建？（2）何时进行重建？（3）如何实现重建目标？对于这些问题的答案是，只要患者身体状况足以承受手术，任何患者都可以进行乳房重建。这可以在切除性乳房切除术时立即进行，也可以推迟3个月或更长时间。重建手术的性质根据乳房切除术的性质和残余畸形进行调整。作者阐述了关于谁应该接受重建、该手术的最佳时机以及实现这些目标的技术的观点。
