摘要
目的：探讨保留乳头乳晕复合体（NAC）在乳腺癌改良根治术中的应用及其适应证、并发症、肿瘤学风险与疗效等，为其临床应用提供参考。方法：在总结临床应用经验基础上，结合在万方、维普、pubmed数据库检索近年来保留NAC乳腺癌改良根治术的相关文献，分析保留NAC在乳腺癌改良根治术肿瘤学风险、适应证、临床应用注意事项、并发症和疗效等几个值得关注的问题。结果：在严格把握适应证的基础上，乳腺癌改良根治术中保留NAC并不带来肿瘤残留危险，临床应用不难掌握，与传统改良根治术相比并发症并没有提高，疗效确切。结论：保留NAC乳腺癌改良根治术保留乳腺的自然皮肤和乳头乳晕复合体，为乳腺癌的外科治疗提供了一种新的方法，对乳腺癌患者乳房重建的美容效果和术后生活质量有重要意义。
Objective： To explore application, indications, complications, tumor risk and curative effect of modified radical operation of preserving nipple - areola complex （ NAC ） therapy for early stage breast cancer and provide the reference for its clinical application. Methods：Based on the clinical experience, related literatures about modified radical operation of preserving NAC therapy for breast cancer in recent years were searched in Wanfang, VIP, and PubMed databases. Oncology risks, indications, clinical application notes, complications and curative effect that deserved attention were discussed. Results：Modified radical operation of preserving NAC for early breast cancer could result in the same effects as classic modified radical operation based on the indication strictly gripped with better cosmetic appearances after restitution and better quality of life. The clinical application of it was not difficult to master and complications did not improve compared with the traditional modified radical mastectomy. Conclusions： Modified radical operation of preserving NAC for earlybreast cancer can result in the same effects as classic modified radical operation based on the indication strictly gripped with better cosmetic appearances after restitution and better quality of life, which provide a new method for surgical therapy for breast carcinoma.
出处
《解剖与临床》
2013年第2期174-177,共4页
Anatomy and Clinics
基金
安徽省卫生厅医学科研课题（A95-1998-02,20088010）
关键词
乳腺肿瘤
改良根治术
乳头乳晕复合体
Breast neoplasm
Modified radical operation
Nipple - areola complex
