지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 520 - 528 (9page)
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초록· 키워드
오류제보하기
Background As the breast cancer incidence has increased, breast-conserving surgery has replaced total mastectomy as the predominant procedure. However, centrally located breast cancers pose significant challenges to successful breast-conserving surgeries. Therefore, we performed partial mastectomy and oncoplastic procedures on centrally located breast cancer as a means of partial breast reconstruction. The authors examined and evaluated the functional and aesthetic usefulness of this reconstruction method. Methods From January 2007 to June 2011, 35 patients with centrally located breast cancers who underwent various oncoplastic procedures based on the breast size and resection volume. The oncoplastic procedures performed included volume displacement surgical techniques such as purse-string suture, linear suture, and reduction mammaplasty. Other oncoplastic procedures included volume replacement procedures with an adipofascial, thoracoepigastric, intercostal artery perforator, thoracodorsal artery perforator, or latissimus dorsi flap. Results Mean patient age was 49 years, and mean follow-up period was 11 months. In cases of small to moderate-sized breasts and resection volumes <50 g, volume displacement procedures were performed. In cases of resection volumes >50 g, volume replacement procedures were performed. In cases of larger breasts and smaller resection volumes, glandular reshaping was performed. Finally, in cases of larger breasts and larger resection volumes, reduction mammaplasty was performed. This reconstruction method also elicits a high patient satisfaction rate with no significant complications. Conclusions In centrally located breast cancer, oncoplastic surgery considering breast size and resection volume is safe and provides appropriate aesthetic outcomes. Therefore, our method is advisable for breast cancer patients who elect to conserve their breasts and retain a natural breast shape.
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참고문헌 (19)
참고문헌 신청
Pezzi CM / 2004 / Breast conservation surgery using nipple-areolar resection for central breast cancers / Arch Surg 139:32~37
Fisher ER / 1975 / Pathologic findings from the National Surgical Adjuvant Breast Project (protocol no. 4). I. Observations concerning the multicentricity of mammary cancer / Cancer 35:247~254
Lagios MD / 1979 / A guide to the frequency of nipple involvement in breast cancer. A study of 149 consecutive mastectomies using a serial subgross and correlated radiographic technique / Am J Surg 138:135~142
Dale PS / 1996 / Nipple-areolar preservation during breast-conserving therapy for subareolar breast carcinomas / Arch Surg :131~430
Danoff BF / 1985 / Excisional biopsy, axillary node dissection and definitive radiotherapy for Stages I and II breast cancer / Int J Radiat Oncol Biol Phys 11:479~483
Fisher ER / 1975 / Pathologic findings from the National Surgical Adjuvant Breast Project (protocol no. 4). I. Observations concerning the multicentricity of mammary cancer / Cancer 35:247~254
Lagios MD / 1979 / A guide to the frequency of nipple involvement in breast cancer. A study of 149 consecutive mastectomies using a serial subgross and correlated radiographic technique / Am J Surg 138:135~142
Dale PS / 1996 / Nipple-areolar preservation during breast-conserving therapy for subareolar breast carcinomas / Arch Surg :131~430
Danoff BF / 1985 / Excisional biopsy, axillary node dissection and definitive radiotherapy for Stages I and II breast cancer / Int J Radiat Oncol Biol Phys 11:479~483
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