关键词: 保乳手术, 肿瘤整形保乳, 乳房重建, 脂肪移植, 乳房对称性手术

Abstract: Breast cancer surgery and reconstruction strategy                      WU Jiong, XIU Bing-qiu, ZHANG Qi. Department of Breast Surgery, Fudan University Shanghai Cancer Center and Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China
Corresponding author: WU Jiong, E- mail: wujiong1122@vip. sina.com
Abstract    With the development of breast surgery, there are more options for breast cancer surgery. For patients with early stage breast cancer, breast conserving surgery, which can expand the indications of this surgery, is still one of the first choices. For the patients who lack the indication of breast conserving, the method and time of breast reconstruction should be selected reasonably. Breast reconstruction can be divided into immediate reconstruction, delayed reconstruction and immediate-delayed reconstruction. The specific methods include implant-based reconstruction, autologous flap reconstruction and fat grafting. Symmetrical surgery should also be included in the breast reconstruction strategy.

Key words: breast-conserving surgery, oncoplastic surgery, breast reconstruction, fat grafting, contralateral breast symmetrization