保留乳头乳晕的乳腺癌改良根治术治疗乳腺癌的安全性

Safety of the nipple-sparing mastectomy in treating breast cancer

保留乳头乳晕的乳腺癌改良根治术（NSM）作为乳腺外科的一种术式，因其保留了患者的乳头乳晕复合体（NAC），对患者术后的美容效果或者术后重建外观美容有极为重要的意义。然而，其临床应用仍存在一些值得探讨的争议点。近年来国内外出现了一些与NSM安全性相关的热点问题，如NSM术前筛选标准、NAC受侵情况、NSM术后并发症及处理方法等。

As a kind of breast cancer surgery choice,the nipple-sparing mastectomy （NSM）saves the patients′nipple-areola complex （NAC）which has significant meaning for patients′cosmetic results and posto-peration reconstruction.However,the clinical application of NSMis still in controversial.Some hot topics about oncological safety of NSM have appeared in recent years,such as the screening criterion of the enrolled patients,the situation of NAC involvement and the complications after NSM and handing methods.