[Clinical research of nipple-areola preserved mastectomy and one-stage breast reconstruction with rectus abdominis musculocutaneous flaps].
OBJECTIVE
To discuss the method for nipple-areola preserved mastectomy with one-stage breast reconstruction in cancer surgery.


METHODS
Because of the merits of sufficient blood supply and plasticity of rectus abdominis musculocutaneous flap, we used one-stage breast reconstruction after modified radical mastectomy. The incision line was covered and the nipple-areola was preserved. The reconstructed breast was naturally in contour.


RESULTS
21 cases were treated from 1990 to 1995, and 18 of them received horizontal-rhombus shaped rectus abdominis musculocutaneous flaps and 3 longitudinal-rhombus flaps for breast reconstruction. Nipple-areola was preserved in 16 cases. Objective evaluation after operation showed that the excellent and satisfied rate reached to 90.5%; and subjective evaluation showed that the excellent and satisfied rate reached to 95.2%. Thirteen cases have been followed up for 3 years, and 9 for 5 years. Three-year survival rate was 100% (13/13), and 5-year 88.9% (8/9).


CONCLUSIONS
The method is recommendable for the treatment of stage I-II breast cancer.
Shandong Tumor Hospital & Institute, Jinan.
W
W
Zuo
L
L
Yi
Y
Y
Wang
D000230:Adenocarcinoma / Q000601:surgery; D000293:Adolescent; D000328:Adult; D001943:Breast Neoplasms / Q000601:surgery*; D018270:Carcinoma, Ductal, Breast / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016462:Mammaplasty; D015411:Mastectomy, Modified Radical / Q000379:methods*; D008875:Middle Aged; D009558:Nipples; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps