Oncoplastic Breast Reconstruction Should All Patients be Considered?

被引：7

作者：

Habibi, Mehran ^{[1
]}

Broderick, Kristen P. ^{[2
]}

Sebai, Mohamad E. ^{[3
]}

Jacobs, Lisa K. ^{[4
]}

机构：

[1] Johns Hopkins Univ, Dept Surg, 4940 Eastern Ave,Room A-562, Baltimore, MD 21224 USA

[2] Johns Hopkins Univ, Dept Plast & Reconstruct Surg, 4940 Eastern Ave,Suite A 520, Baltimore, MD 21224 USA

[3] Johns Hopkins Univ, Sch Med, Dept Surg, 4940 Eastern Ave,Bldg A 5th Floor Room 562, Baltimore, MD 21224 USA

[4] Johns Hopkins Univ, Dept Surg, Blalock 607, Baltimore, MD 21287 USA

来源：

SURGICAL ONCOLOGY CLINICS OF NORTH AMERICA | 2018年 / 27卷 / 01期

关键词：

Breast cancer; Breast preservation; Oncoplastic surgery; Reconstructive surgery; Cosmesis; PARTIAL MASTECTOMY; REDUCTION MAMMAPLASTY; CONSERVATIVE TREATMENT; CONSERVING SURGERY; CANCER; CLASSIFICATION; COMPLICATIONS; COMBINATION; LUMPECTOMY; ALGORITHM;

D O I：

10.1016/j.soc.2017.07.007

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Oncoplastic surgery of the tissue defect from partial mastectomy should be considered for all patients. It can result in significant asymmetries, from scar contraction and skin tethering to alterations in the nipple areolar complex location. Indications, risks, and benefits are discussed. Optimal procedures are described, considering resected specimen volume, primary tumor location, tumor to breast size ratio, and the impact on the nipple areolar complex. Indications for plastic surgery consultation and joint surgery are discussed. Surgical management includes incision planning, preservation of the nipple areolar complex pedicle and position, patient positioning, incision location, and recovery.

引用

页码：167 / +

页数：16

共 47 条

[1]

[Anonymous], PARTIAL BREAST RECON

[2]

Audretsch W, 1987, ARCH GYNECOL OBSTE S, V241, P9

[3]

Audretsch WP., 1998, Perspectives in Plastic Surgery, V11, P71, DOI DOI 10.1055/s-2008-1080243

[4] Aesthetic outcomes in patients undergoing breast conservation therapy for the treatment of localized breast cancer [J].

Bajaj, AK ;

Kon, PS ;

Berg, KC ;

Miles, DAG .

PLASTIC AND RECONSTRUCTIVE SURGERY, 2004, 114 (06) :1442-1449

[5] An Oncoplastic Breast Augmentation Technique for Immediate Partial Breast Reconstruction following Breast Conservation [J].

Barnea, Yoav ;

Friedman, Or ;

Arad, Ehud ;

Barsuk, Daphna ;

Menes, Tehillah ;

Zaretski, Arik ;

Leshem, David ;

Gur, Eyal ;

Inbal, Amir .

PLASTIC AND RECONSTRUCTIVE SURGERY, 2017, 139 (02) :348E-357E

[6] Prediction of cosmetic outcome following conservative breast surgery using breast volume measurements [J].

Bulstrode, NW ;

Shrotria, S .

BREAST, 2001, 10 (02) :124-126

[7] Cosmetic outcome and percentage of breast volume excision in oncoplastic breast conserving surgery [J].

Chan S.W.W. ;

Chueng P.S.Y. ;

Lam S.H. .

World Journal of Surgery, 2010, 34 (7) :1447-1452

[8] Oncoplastic techniques allow extensive resections for breast-conserving therapy of breast carcinomas [J].

Clough, KB ;

Lewis, JS ;

Couturaud, B ;

Fitoussi, A ;

Nos, C ;

Falcou, MC .

ANNALS OF SURGERY, 2003, 237 (01) :26-34

[9]

CLOUGH KB, 1990, ANN CHIR PLAST ESTH, V35, P117

[10] Cosmetic sequelae after conservative treatment for breast cancer: Classification and results of surgical correction [J].

Clough, KB ;

Cuminet, J ;

Fitoussi, A ;

Nos, C ;

Mosseri, V .

ANNALS OF PLASTIC SURGERY, 1998, 41 (05) :471-481

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