CAJ | 학술논문

目的探讨保留乳头乳晕复合体( nipple-areolar complex,NAC)的乳腺癌改良根治术——Ⅰ期背阔肌脂肪瓣重建乳房的方法及临床应用.方法自2006年1月至2008年12月,对16例早期乳腺癌行保留NAC的改良根治术,同时取部分或全部背阔肌脂肪瓣行Ⅰ期乳房重建.结果 16例手术均获得成功,无背阔肌脂肪瓣坏死,无乳房皮瓣及背部皮肤坏死.重建乳房美观,效果为优、良15例(93.8％),一般1例(6.2％)；中位随访时间为44个月(36 ～ 60个月),均无瘤生存.结论保留NAC的乳腺癌改良根治术——Ⅰ期背阔肌脂肪瓣乳房重建术,可满足肿瘤根治和形体美容两方面要求,提高患者生存质量.
목적 탐토보류유두유훈복합체( nipple-areolar complex,NAC)적유선암개량근치술——Ⅰ기배활기지방판중건유방적방법급림상응용.방법 자2006년1월지2008년12월,대16례조기유선암행보류NAC적개량근치술,동시취부분혹전부배활기지방판행Ⅰ기유방중건.결과 16례수술균획득성공,무배활기지방판배사,무유방피판급배부피부배사.중건유방미관,효과위우、량15례(93.8％),일반1례(6.2％)；중위수방시간위44개월(36 ～ 60개월),균무류생존.결론 보류NAC적유선암개량근치술——Ⅰ기배활기지방판유방중건술,가만족종류근치화형체미용량방면요구,제고환자생존질량.
Objective To discuss the benefits of nipple-areola complex(NAC) preseving radical modified mastectomy and immediate reconstruction with latissimus dorsi fat flap for early breast cancer. Methods From Jan 2006 to Dec 2008, 16 patients underwent NAC preseving modified radical mastectomy and immediate breast reconstruction with latissimus dorsi fat flap.Results All patients recovered smoothly.No fat flap or back skin necrosis happened.The reconstructed breasts had good apperance with 93.8％ satisfaction rate.During the follow-up of 44 months (ranging from 36 to 60 months), all patients were disease-free.Conclusions The operation of NAC preseving modified radical mastectomy and immediate reconstruction with latissimus dorsi fat flap is safe and effective.It can improve the life quality of patients by satisfing the needs of both beauty and tumor resection.