检索结果-南通市图书馆

nipple-sparing mastectomy in Breast Cancer： From an Oncologic Safety Perspective

Chinese Medical Journal 2015年第16期128卷 2256-2261页

作者： Nai-Si Huang JiongWu Department of Breast Surgery Shanghai Cancer Center Fudan University Shanghai 200032 China

Objective：To evaluate the oncologic safety of nipple-sparing mastectomy （NSM） for breast cancer patients based on current *** Sources：A comprehensive literature search ofMedline,Embase databases was conducted for studies published through March *** Selection：Our search criteria included English-language studies that focused on NSM at nipple-areola complex （NAC） involvement,patient selection,and *** NSM,case series or reports that based on very small population were *** the end,42 studies concerning NSM and oncological safety were included into the ***：NSM is a surgical procedure that allows the preservation of the skin and NAC in breast cancer patients or in patients with prophylactic ***,the oncologic safety and patient selection criteria associated with NSM are still under *** incidence of NAC involvement of breast cancer in recent studies ranges from 9.5% to 24.6%,which can be decreased through careful patient ***-nipple distance,tumour size,lymph node involvement and molecular characteristics can be evaluated preoperatively by clinical examinations,imaging studies and biopsies to predict the risk of NAC ***,there is no available standard protocol for surgical approaches to NSM or pathological examination of NSM *** local recurrence （ranges from 0% to 24%） of NSM is not significantly higher than that of traditional mastectomy in selected patients based on long-term *** role of radiotherapy in NSM is still controversial and is not universally ***：NSM appears to be oncologically safe following careful patient selection and assessment of margins.

关键词： Breast Cancer Locoreginal Recurrence nipple Involvement nipple-sparing mastectomy

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Investigation of the current situation of nipple-sparing mastectomy:a large multicenter study in China(CSBrs-003)

引用

Chinese Medical Journal 2021年第7期134卷 806-813页

作者： Li Zhu Yang Yan Lin Tian Li Yang Bao-Shi Bao Hua Kang Jian-Dong Wang Department of General Surgery The First Medical Center of Chinese PLA General HospitalBeijing 100853China Department of General Surgery Hainan Hospital of Chinese PLA General HospitalSanyaHainan 572013China Department of Thyroid and Breast Surgery The First Peoples Hospital of ZunyiZunyiGuizhou 563000China Department of General Surgery Beijing Shunyi HospitalBeijing 101300China Department of General Surgery Xuanwu HospitalCapital Medical UniversityBeijing 100053China.

Background:mastectomy techniques have been extended to nipple-sparing mastectomy(NSM).This study aimed to assess the actual application of NSM in China and identify the factors influencing postoperative ***:The clinical data of 615 patients(641 surgeries)undergoing NSM from January 1st,2018 to December 31st,2018 at 28 centers nationwide were retrospectively analyzed to obtain the rate of NSM and investigate factors related to NSM ***:The proportion of NSM surgery performed in this study was 2.67%(17/641).Malignant breast tumors accounted for the majority of NSM surgery(559/641,87.2%).A total of 475(77.3%)patients underwent NSM combined with reconstructive *** rate of reconstruction decreased with age in our study,and implants were the most common option(344/641,53.7%)in *** incision was the most selected method regardless of ***,for those who underwent reconstruction surgery,18.4%(85/462)of cases also chose curvilinear incision,while in the simple NSM surgery group,more patients chose circumareolar incision(26/136,19.1%).The tumor-to-nipple distance(TND)influenced postoperative complications(P=0.004).There were no relationships between postoperative complications and tumor size,tumor location,histologic grade,molecular subtype,nipple discharge,and axillary lymph ***:NSM surgery is feasible and only TND influenced postoperative complications of NSM *** the proportion of NSM surgery performed is still low in nationwide centers of *** selection criteria for appropriate surgical methods are important for NSM in clinical *** optimize clinical applications of NSM,further multicenter prospective randomized controlled studies are needed.

关键词： Breast nipple-sparing mastectomy Reconstruction Tumor-to-nipple distance

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

The Place of nipple-sparing mastectomy in the Treatment of Breast Cancer: Review of the Literature

引用

Open Journal of Obstetrics and Gynecology 2021年第12期11卷 1752-1769页

作者： Abdallah El Farouqi Anas Boumzough Department of Obstetrics and Gynecology Agadir Faculty of Medicine and Pharmacy UHC Agadir Morocco

Introduction: mastectomy with conservation of the nipple-areola complex (NAC) in breast cancer care has been controversial with regards to the oncological safety of this procedure and the risk of complications includi... 详细信息

Introduction: Mastectomy with conservation of the nipple-areola complex (NAC) in breast cancer care has been controversial with regards to the oncological safety of this procedure and the risk of complications including NAC necrosis. Aim: The objective of this study is to assess, through a literature review, the safety and reliability of a conservative NAC mastectomy in breast cancer treatment, paying attention to the rate of local recurrence and complications. Methods: A review of the literature was conducted from PubMed data, and articles published between January 2007 and December 2017, using the terms “nipple-sparing mastectomy”, “breast cancer”, “local recurrence”, “necrosis of the nipple”, “global complications”. The articles were analyzed with regards to the following parameters of evaluation: local recurrence, recurrence rate at NAC level, global complication rates and nipple necrosis rates. Results: In the 36 studies we selected, the average rate of local recurrence was 3.23%. The average rate of recurrence at the NAC was 0.81%. The average rate of complications was 20%. The average rate of necrosis of the NAC was 5.9%. The main factors of these recurrences were the tumor size > 5 cm and tumor stage > stage II. Conclusion: Conservative mastectomy of the nipple-areola complex offers an aesthetic advantage and oncological sa

关键词： nipple-sparing mastectomy Breast Cancer Local Recurrence Necrosis of the nipple Global Complications

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：