Olbrisch R R
Chirurg. 1981 Jul;52(7):467-71.
There are many indications for subcutaneous mastectomy with immediate reconstruction using silicone implants because of the relatively simple technique. The risk of malignant change in simple mastopathy is minimal. However, the inadequacy of an operative technique that leaves behind unknown quantities of breast tissue and the frequently bad cosmetic results make all indications appear doubtful. For these reasons subcutaneous mastectomy should be abandoned and simple mastectomy with immediate reconstruction is to be preferred for the following conditions: (1) Diffuse, painful, simple mastopathy that has been repeatedly biopsied; (2) Non-invasive carcinoma, either intra-duct or in situ.
由于技术相对简单，硅胶植入物即刻重建的皮下乳房切除术有很多适应症。单纯乳腺病发生恶变的风险极小。然而，手术技术留下数量不明的乳腺组织以及常常不佳的美容效果，使得所有适应症都令人怀疑。出于这些原因，皮下乳房切除术应被摒弃，对于以下情况，即刻重建的单纯乳房切除术更值得推荐：（1）反复活检的弥漫性、疼痛性单纯乳腺病；（2）导管内或原位非浸润性癌。
