유륜주위절개법을 통한 유방암 수술 및 즉시 유방재건술 (Removal of breast cancer and immediate breast reconstruction by periareolar approach)

서지정보

· 발행기관 : 대한성형외과학회
· 수록지 정보 : Archives of Plastic Surgery / 38권 / 2호 / 148 ~ 154페이지
· 저자명 : 박수성, 이근철, 김석권, 조세헌, 박정민

초록

Purpose: As the Korean life style is becoming westernized at a rapid pace, the rate of breast cancer is growing at the same time. So, the case of breast reconstruction after mastectomy increases, too. Points of breast reconstruction are symmetry, scar, size, shape. Especially symmetry and scar are more important than others in Korea. This study is aimed to study the method of breast reconstruction that accomplished the best result of the side of symmetry and scar.
Methods: A total 15 patients were operated on from March of 2005 to July of 2009. The 5 patients were reconstructed by mammoreduction method after periareolar incision, the 7 patients were reconstructed by pectoralis - major transfer with implant after periareolar incision, and 3 patient were reconstructed by both breast augmentation.
Results: Follow up period was 20.2 months and no complication such as breast deformity was observed. In symmetry of breast, the satisfaction score of periareolar approach is 4.4 and the satisfaction score of other approaches are 4.2 (p > 0.05). But in scar of breast, the satisfaction score of periareolar approach is 4.6 and the satisfaction score of other approaches is 3.4(p < 0.05).
Conclusion: In conclusion, Author’s method of breast reconstruction after removal of breast cancer through periareolar incision is effective method in patients who care about aesthetic result after mastectomy.

영어초록

Purpose: As the Korean life style is becoming westernized at a rapid pace, the rate of breast cancer is growing at the same time. So, the case of breast reconstruction after mastectomy increases, too. Points of breast reconstruction are symmetry, scar, size, shape. Especially symmetry and scar are more important than others in Korea. This study is aimed to study the method of breast reconstruction that accomplished the best result of the side of symmetry and scar.
Methods: A total 15 patients were operated on from March of 2005 to July of 2009. The 5 patients were reconstructed by mammoreduction method after periareolar incision, the 7 patients were reconstructed by pectoralis - major transfer with implant after periareolar incision, and 3 patient were reconstructed by both breast augmentation.
Results: Follow up period was 20.2 months and no complication such as breast deformity was observed. In symmetry of breast, the satisfaction score of periareolar approach is 4.4 and the satisfaction score of other approaches are 4.2 (p > 0.05). But in scar of breast, the satisfaction score of periareolar approach is 4.6 and the satisfaction score of other approaches is 3.4(p < 0.05).
Conclusion: In conclusion, Author’s method of breast reconstruction after removal of breast cancer through periareolar incision is effective method in patients who care about aesthetic result after mastectomy.

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