Spear S L, Burke J B, Forman D, Zuurbier R A, Berg C D
Division of Plastic Surgery, Georgetown University Medical Center, Washington, DC 20007, USA.
Plast Reconstr Surg. 1998 Nov;102(6):1913-6. doi: 10.1097/00006534-199811000-00015.
Little is known about the outcome of breast reduction in the previously radiated breast. With the increased popularity of breast conservation in the management of breast cancer, it is inevitable that more women with breast cancer who have had a breast radiated will be seeking breast reduction. Although it would be expected that reduction of the radiated breast would be more challenging and would yield less-pleasing results, it has been unclear whether reduction in the radiated breast could be safely performed without interfering with mammography and cancer surveillance. Our experience using different techniques in three patients demonstrates that such reductions can be effectively and safely done if certain principles are followed. Pedicles should be designed to be broader and shorter than usual, and breast flaps should be undermined or elevated either minimally or not at all.
对于既往接受过放疗的乳房进行缩乳术的效果，人们了解甚少。随着保乳治疗在乳腺癌管理中的日益普及，不可避免地会有更多接受过乳房放疗的乳腺癌女性寻求缩乳术。尽管预计对放疗后的乳房进行缩乳术会更具挑战性且效果欠佳，但尚不清楚在不影响乳腺钼靶检查和癌症监测的情况下，对放疗后的乳房进行缩乳术是否能安全实施。我们对三名患者采用不同技术的经验表明，如果遵循某些原则，此类缩乳术可以有效且安全地进行。蒂部应设计得比通常更宽、更短，乳房皮瓣应尽量少地或完全不进行潜行分离或掀起。
