游离真皮脂肪瓣在乳腺癌保乳术中的应用

Application of free dermal fat graft in breast-conserving surgery for breast cancer

保乳手术已成为当前乳腺癌的标准术式之一,其肿瘤学安全性及美容效果均得到大量临床研究证实。但仍有部分患者不适于保乳术,转而接受全乳切除或创伤更大的乳房重建术。游离真皮脂肪瓣能更好地解决保乳手术中遇到的整形困难,尤其适用于病灶切除后乳房组织缺损过大及肿块位于乳房内上象限导致局部整形困难的病例。文章就游离真皮脂肪瓣在乳腺癌保乳术中的应用进行综述。

Breast conserving surgery has become one of the standard procedures for breast cancer and its oncological safety and cosmetic outcome have been confirmed by a large number of clinical studies.But there are still some patients who are not suitable for breast conserving surgery,they have to undergo total mastectomy or breast reconstruction with more damage.Free dermal fat graft(FDFG)can better solve the problems in breast conserving surgery,especially for cases with large breast tissue defect after lesion excision and upper inner quadrant lesion which makes local plastic surgery difficult.This article reviews the application of FDFG in breast conserving surgery.