Conservative mastectomy: extending the idea of breast conservation

被引:39
作者
Veronesi, Umberto [1 ]
Stafyla, Vaia [2 ]
Petit, Jean-Yves [3 ]
Veronesi, Paolo [4 ]
机构
[1] European Inst Oncol, Sci Direct, I-20141 Milan, Italy
[2] European Inst Oncol, Dept Senol, I-20141 Milan, Italy
[3] European Inst Oncol, Dept Plast Surg, I-20141 Milan, Italy
[4] Univ Milan, Sch Med, Milan, Italy
关键词
SKIN-SPARING MASTECTOMY; NIPPLE-AREOLA COMPLEX; 20-YEAR FOLLOW-UP; LOCAL RECURRENCE; SUBCUTANEOUS MASTECTOMY; RADIOTHERAPY ELIOT; PATIENT-SATISFACTION; CONSERVING SURGERY; ONCOLOGICAL SAFETY; RADICAL-MASTECTOMY;
D O I
10.1016/S1470-2045(12)70133-X
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Conservative mastectomy is a surgical technique to remove breast glandular tissue without disruption to the appearance of the breast. The main contraindication to this operation is involvement of the nipple-areola complex. Preservation of a healthy nipple does not affect long-term survival rates. Intraoperative retroareolar biopsy and accurate removal of all mammary tissue are mainstays to guarantee oncological safety of the technique. A complication, however infrequent, is nipple necrosis, which can be treated successfully by local excision. Several breast reconstructive techniques are used during conservative mastectomy and aesthetic results are good in most cases.
引用
收藏
页码:E311 / E317
页数:7
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