Iino Y, Takei H, Andoh T, Sugamata N, Aoyagi H, Nagasawa M, Horii Y, Yokoe T, Ohwada S, Morishita Y
Second Department of Surgery, Gunma University School of Medicine, Japan.
Anticancer Res. 1995 Jul-Aug;15(4):1511-5.
Subcutaneous mastectomy with axillary dissection plus breast reconstruction using latissimus dorsi myocutaneous flap (or latissimus dorsi muscle) was carried out for 8 patients with breast cancer. These consisted of 1 patient with non-invasive ductal carcinoma, 5 with stage I (4 invasive ductal carcinomas and 1 invasive lobular carcinoma) and 2 with stage II (1 invasive ductal carcinoma and 1 invasive lobular carcinoma). Cancer cells were recognized histopathologically in the resection margins of the small mammary gland resting under the nipple in only 1 case, and the remaining 7 cases underwent a curative resection. In the prognosis, 7 patients were disease-free and 1 showed a local recurrence. The patient with local recurrence showed no metastasis after the resection of the local lesion. The cosmetic results of this operation were excellent in all patients. This operation was effective both for these patients with breast cancer who did not want to undergo breast conserving surgery or modified radical mastectomy and for those who were excluded from the criteria of breast conserving surgery from the prognostic and cosmetic points of view.
对8例乳腺癌患者实施了皮下乳房切除术加腋窝清扫术，并采用背阔肌肌皮瓣（或背阔肌）进行乳房重建。其中包括1例非浸润性导管癌患者、5例I期患者（4例浸润性导管癌和1例浸润性小叶癌）以及2例II期患者（1例浸润性导管癌和1例浸润性小叶癌）。仅1例患者在乳头下方的小乳腺切除边缘经组织病理学检查发现癌细胞，其余7例患者均接受了根治性切除。在预后方面，7例患者无疾病复发，1例出现局部复发。局部复发的患者在局部病灶切除后未出现转移。所有患者的手术美容效果均极佳。该手术对于那些不愿接受保乳手术或改良根治性乳房切除术的乳腺癌患者，以及从预后和美容角度被排除在保乳手术标准之外的患者均有效。
