Conservative mastectomy: extending the idea of breast conservation

被引：38

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

来源：

LANCET ONCOLOGY | 2012年 / 13卷 / 07期

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

页码：E311 / E317

页数：7

共 74 条

[41] Aesthetic outcome of different techniques of reconstruction following nipple-areola-preserving envelope mastectomy with immediate reconstruction [J].

Mosahebi, Afshin ;

Ramakrishnan, Venkat ;

Gittos, Mark ;

Collier, St. John .

PLASTIC AND RECONSTRUCTIVE SURGERY, 2007, 119 (03) :796-803

[42] Clinical Outcomes of Video-Assisted Skin-Sparing Partial Mastectomy for Breast Cancer and Immediate Reconstruction with Latissimus Dorsi Muscle Flap as Breast-Conserving Therapy [J].

Nakajima, Hiroo ;

Fujiwara, Ikuya ;

Mizuta, Naruhiko ;

Sakaguchi, Koichi ;

Ohashi, Mahiro ;

Nishiyama, Asako ;

Umeda, Yoshimi ;

Ichida, Miho ;

Magae, Junji .

WORLD JOURNAL OF SURGERY, 2010, 34 (09) :2197-2203

[43] Psychological impact and cosmetic outcome of surgical breast cancer strategies [J].

Nano, MT ;

Gill, PG ;

Kollias, J ;

Bochner, MA ;

Malycha, P ;

Winefield, HR .

ANZ JOURNAL OF SURGERY, 2005, 75 (11) :940-947

[44] Skin/nipple sparing mastectomies and implant-based breast reconstruction in patients with large and ptotic breast: Oncological and reconstructive results [J].

Nava, Maurizio B. ;

Ottolenghi, Joseph ;

Pennati, Angela ;

Spano, Andrea ;

Bruno, Novella ;

Catanuto, Giuseppe ;

Boliglowa, Dominik ;

Visintini, Valentina ;

Santoro, Stefano ;

Folli, Secondo .

BREAST, 2012, 21 (03) :267-271

[45] Presentation, treatment, and outcome of local recurrence after skin-sparing mastectomy and immediate breast reconstruction [J].

Newman, LA ;

Kuerer, HM ;

Hunt, KK ;

Kroll, SS ;

Ames, FC ;

Ross, MI ;

Feig, BW ;

Singletary, SE .

ANNALS OF SURGICAL ONCOLOGY, 1998, 5 (07) :620-626

[46] Intraoperative electron beam radiotherapy (ELIOT) to the breast: A need for a quality assurance programme [J].

Orecchia, R ;

Ciocca, M ;

Tosi, G ;

Franzetti, S ;

Luini, A ;

Gatti, G ;

Veronesi, U .

BREAST, 2005, 14 (06) :541-546

[47] Subcutaneous Mastectomy With Conservation of the Nipple-Areola Skin Broadening the Indications [J].

Paepke, Stefan ;

Schmid, Rainer ;

Fleckner, Stefanie ;

Paepke, Daniela ;

Niemeyer, Markus ;

Schmalfeldt, Barbara ;

Jacobs, Volker R. ;

Kiechle, Marion .

ANNALS OF SURGERY, 2009, 250 (02) :288-292

[48] Delayed nipple-sparing modified subcutaneous mastectomy: Rationale and technique [J].

Palmieri, B ;

Baitchev, G ;

Grappolini, S ;

Costa, A ;

Benuzzi, G .

BREAST JOURNAL, 2005, 11 (03) :173-178

[49] Risk factors associated with recurrence after nipple-sparing mastectomy for invasive and intraepithelial neoplasia [J].

Petit, J. Y. ;

Veronesi, U. ;

Orecchia, R. ;

Curigliano, G. ;

Rey, P. C. ;

Botteri, E. ;

Rotmensz, N. ;

Lohsiriwat, V. ;

Kneubil, M. Cassilha ;

Rietjens, M. .

ANNALS OF ONCOLOGY, 2012, 23 (08) :2053-2058

[50] Nipple sparing mastectomy with nipple areola intraoperative radiotherapy: one thousand and one cases of a five years experience at the European institute of oncology of Milan (EIO) [J].

Petit, J. Y. ;

Veronesi, U. ;

Orecchia, R. ;

Rey, P. ;

Martella, S. ;

Didier, F. ;

Viale, G. ;

Veronesi, P. ;

Luini, A. ;

Galimberti, V. ;

Bedolis, R. ;

Rietjens, M. ;

Garusi, C. ;

De Lorenzi, F. ;

Bosco, R. ;

Manconi, A. ;

Ivaldi, G. B. ;

Youssef, O. .

BREAST CANCER RESEARCH AND TREATMENT, 2009, 117 (02) :333-338

← 1 2 3 4 5 6 7 8 →