使用带蒂胸大肌肌筋膜瓣的肿瘤整形保乳手术治疗内上象限乳腺癌

IF 2.5 4区医学 Q3 ONCOLOGY Cancer Management and Research Pub Date : 2024-12-10 eCollection Date: 2024-01-01 DOI:10.2147/CMAR.S472263

Jie Jie Hu, Chengdong Qin, Siyuan Liu, Meizhen Zhu, Xianghou Xia, Chenlu Liang, Jiefei Mao, Fanrong Zhang, Yang Yu

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引用次数: 0

摘要

背景：肿瘤整形保乳手术（OBCS）已成为治疗乳腺癌的一种重要方法，它既能确保肿瘤安全，又能达到美学效果。然而，挑战依然存在，尤其是内上象限（UIQ）肿瘤，既要达到满意的美容效果，又要保持肿瘤的完整性，这仍然是一个复杂的问题。方法：15 名内上象限乳腺癌患者使用带蒂胸大肌筋膜瓣（PMMF）接受了 OBCS。所有病历、术前影像学检查结果和术后数据均以回顾性方式收集：这项研究显示，内上极OBCS术后的美容效果良好，患者对结果也很满意。结论：PMMF 作为一种技术是可靠的：结论：PMMF 技术供血可靠，易于掌握，无需额外切口，手术创伤和功能影响极小。

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Oncoplastic Breast-Conserving Surgery for Upper Inner Quadrant Breast Cancer Using Pedicled Pectoralis Major Myofascial Flap.

Background: Oncoplastic breast-conserving surgery (OBCS) has emerged as a pivotal approach in the management of breast cancer, ensuring both oncological safety and aesthetic outcomes. However, challenges persist, particularly in upper inner quadrant (UIQ) tumors, where achieving satisfactory cosmetic results while preserving oncological integrity remains intricate.

Methods: 15 patients with UIQ breast cancer received OBCS using a pedicled pectoralis major myofascial flap (PMMF). All medical records, preoperative imaging findings, and post-operative data were gathered retrospectively.

Results: This study showed good cosmetic outcomes after OBCS of the upper inner pole and the patients were satisfied with the results. There were no recurrences or metastases in any of the patients.

Conclusion: PMMF as a technique is reliable blood supply, easy to master, no need for additional incision, and minimal surgical trauma and functional impact.

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来源期刊

Cancer Management and Research Medicine-Oncology

CiteScore

7.40

自引率

0.00%

发文量

448

审稿时长

16 weeks

期刊介绍： Cancer Management and Research is an international, peer reviewed, open access journal focusing on cancer research and the optimal use of preventative and integrated treatment interventions to achieve improved outcomes, enhanced survival, and quality of life for cancer patients. Specific topics covered in the journal include: ◦Epidemiology, detection and screening ◦Cellular research and biomarkers ◦Identification of biotargets and agents with novel mechanisms of action ◦Optimal clinical use of existing anticancer agents, including combination therapies ◦Radiation and surgery ◦Palliative care ◦Patient adherence, quality of life, satisfaction The journal welcomes submitted papers covering original research, basic science, clinical & epidemiological studies, reviews & evaluations, guidelines, expert opinion and commentary, and case series that shed novel insights on a disease or disease subtype.