整型式乳癌手術

      傳統上，乳癌患者需要手術切除全部乳房，但是經過20年的研究，證實了乳癌手術只切除部份的乳房(即乳房保留手術)，與全部乳房切除的存活率相同。目前超過60%的歐美及日本乳癌病患接受乳房保留手術，超過24%的台灣乳癌患者接受乳房保留手術。
      由於乳房保留手術後必須受放射治療，治療後經常引起手術部位變形及乳頭移位，降低了乳房的美觀。因此，有整型式乳癌切除手術(Oncoplastic surgery)的提倡。手術的原理是利用殘存的乳腺做有效的轉位，彌補切除部位的空洞，同時必須考量腫瘤分布情況，做完整的切除。經過這樣的手術，乳房不會凹陷變形，癌症部位也因充分的術前定位，得以完整切除。 

參考文獻:

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整型式乳房部分切除手術: 乳房轉位技術的綜論

Benjamin O. Anderson, Chin-Yau Chen (陳慶耀). Comparative study of surgical margins in oncoplastic surgery and quadrantectomy in breast cancer, comment. Breast disease 17(1): 61-62, 2006 
整型式乳癌切除手術與傳統乳癌象限切除對於切除安全距離的比較

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整型式乳癌切除手術: 以乳房解剖構造為基礎的革新技術

Chin-Yau Chen (陳慶耀), Tony Hsiu-His Chen. The choice between breast conservation and mastectomy in Taiwanese women. Abstract. The Breast Health global initiative congress. Budapest, Hungary, 2007
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Chin-Yau Chen (陳慶耀), Pei-Ju Wang, Chih-Sheng Huang, Kuan-Tin Chen, Yawei Cheng, Su-Shun Lo, Benjamin O Anderson. Increased asymmetry with larger breast size following the oncoplastic parallelogram mastopexy lumpectomy for cancer. Breast J. 2021 Apr;27(4):409-411
整型式乳癌切除手術在大胸部女性引起之不對稱