Zusammenfassung
Die brusterhaltende Therapie des Mammakarzinoms stellt bei kleineren Tumoren eine Alternative zu radikaleren Behandlungsmethoden dar. Die erzielten kosmetischen Ergebnisse sind nicht immer zufriedenstellend. Die Korrektur dieser Deformitäten an der nachbestrahlten Brust ist schwierig und risikoreich. Deswegen solite in die Primäroperation bereits die Rekonstruktion der Brustdrüse mitaufgenommen werden. Für dieses operative Vorgehen werden technische Möglichkeiten aufgezeigt. Vom onkologischen Standpunkt aus erscheint dies vertretbar.
Summary
Breast-conserving therapy in mammary carcinoma is an alternative to the more radical forms of therapy when the tumors are small. The cosmetic results obtained are not always satisfactory. Correction of deformities of this kind in breasts which have been subjected to post-operative radiation is difficult and dangerous. Consequently, reconstruction of the mammary gland should be included in the primary operation. The technical possibilities for doing so are listed. It seems to be justifiable from an oncological point of view.
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Schönegg, W.D., Keppke, E.M., Pinotti, J.A. et al. Brusterhaltende Krebschirurgie unter plastisch-rekonstruktiven Gesichtspunkten. Acta Chir Austriaca 21, 273–277 (1989). https://doi.org/10.1007/BF02658846
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DOI: https://doi.org/10.1007/BF02658846