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:
Benjamin O Anderson, Riccardo Masetti, Melvin J Silverstein. Oncoplastic approaches to partial mastectomy: an overview of volume-displacement techniques. Lancet Oncol 6: 145–57, 2005
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
C.Y. Chen (陳慶耀), K.E. Calhoun, R. Masetti, B.O. Anderson: Oncoplastic breast conserving surgery: A renaissance of anatomically-based surgical technique. Minerva Chirurgica, 61(5):421-34, 2006.
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
台灣女性對於乳房保留及全部切除的選擇
Chen, C.Y.(陳慶耀), Anderson, B.O.: Cirugia Oncoplastica en cancer de mama (Oncoplastic Surgery in breast cancer). In: Tratado de Enfermedades de la Glandula Mamaria, Sanchez-Basurto, C., Sanchez-Forgach, E., editors. Editorial Alfil, 2008.
整型式乳癌切除的乳癌治療(西班牙文教科書章節)
Chen, C.Y.(陳慶耀), Calhoun, K.E., Anderson, B.O.: Oncoplastic approaches to the partial mastectomy for breast conservation therapy (chapter 17). In: Atlas of Breast Surgical Techniques: A Volume in the Surgical Techniques Atlas Series, C.E.H., Klimberg, V.S., ed., Elsevier Saunders: Philadelphia, pp. 227-251, 2009.
整型式乳癌切除手術(英文教科書章節)
Chin-Yau Chen (陳慶耀), Calhoun, K.E., Benjamin O. Anderson, Oncoplastic surgical techniques for the partial mastectomy (chapter 14). In: Lisa Jacobs, Christina Finlayson, editors. Early Diagnosis of Cancer Series – Breast Cancer, Elsevier Saunders: Philadelphia, pp. 205-215, 2011
整型式乳癌切除手術(英文教科書章節)
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整型式乳癌切除手術(英文教科書章節)
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