摘要
目的探讨保留乳头乳晕复合体(nipple-areolar complex,NAC)并一期乳房重建术治疗早期乳腺癌的可行性、安全性、肿瘤根治性和美容效果。方法 2006年1月至2009年12月收治早期乳腺癌28例,12例接受保留NAC的改良根治术并一期乳房重建(观察组),16例为不保留NAC的一期乳房重建(对照组),比较分析两组的局部区域复发率、远处转移率及再造乳房形态。结果随访时间为36～48个月,28例均未发现肿瘤局部复发或远处转移,重建乳房外形满意,观察组乳头乳晕区皮肤无坏死,再造乳房无明显萎缩,质地柔软,乳头感觉存在。结论在严格把握适应证的基础上行保留NAC改良根治并一期乳房重建术治疗早期乳腺癌是安全和可行的,重建后的乳房美容效果更满意。
Objective To investigate the clinical efficacy and cosmetic results of the nipple areola complex （nipple-areolar complex, NAC） and a breast reconstruction for early breast cancer. Methods 28 cases with early breast cancer were collected from January 2006 to December 2009 in our hospital, 12 patients received modified radical reserved NAC modified radical mastectomy and a breast reconstruction, 16 patients underwent a period of breast reconstruction. Local recurrence rate in the two groups, the rate of distant metastasis, overall survival and survival were compared. Results The follow-up time of 24 to 48 months, all patients had no local recurrence and distant metastases, breast reconstruction in good shape the nipple areolar skin necrosis, skin atrophy, harden, nipple sensation after 6 months recovery. Conclusions More ideal cosmetic results in strict grasp indications based on the uplink reserved NAC modified radical mastectomy for early breast cancer can be achieved with the same therapeutic effect of nipple preserving modified radical masteetomy, breast reconstruction at the same time.
出处
《中国肿瘤外科杂志》
CAS
2013年第2期106-108,共3页
Chinese Journal of Surgical Oncology
关键词
乳腺癌
改良根治术
乳头乳晕复合体
乳房重建
breast cancer
modified radical operation
nipple-areolar complex
breast reconstruction
