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  • 1 Országos Onkológiai Intézet Általános és Mellkassebészeti Osztály Budapest Ráth György u. 7–9. 1122
  • 2 Országos Onkológiai Intézet Radiológiai Diagnosztikus Osztály Budapest
  • 3 Országos Onkológiai Intézet Fej-Nyak, Állcsont- és Rekonstrukciós Sebészet, Onkológiai Helyreállító Plasztikai Sebészet és Lézersebészeti Osztály Budapest
  • 4 Országos Onkológiai Intézet Gyógyszertár Budapest
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Az összes emlőtumor 5–20%-a centrális elhelyezkedésű. Évtizedeken át, tradicionálisan ezen daganatok sebészi kezelése a mastectomiát jelentette. Az emlőbimbó nagy arányú tumoros érintettsége az emlőbimbó-komplexum radikális sebészi eltávolítását teszi szükségessé. Az onkoplasztikus sebészi technikák jól szelektált esetekben lehetővé teszik, hogy az emlőbimbóval együtt történő radikális centrális quadrantectomiát követően megfelelő esztétikai eredményt érjünk el. Közleményünkben összefoglaljuk a centrális tumorok emlőmegtartó műtéteinek indikációit, technikáit és eredményeit. Orv. Hetil., 151, 2105–2112.

  • Veronesi, U., Cascinelli, N., Mariani, L. és mtsai: Twenty-year follow-up of a randomized study comparing breast-conserving surgery with radical mastectomy for early breast cancer. N. Engl. J. Med., 2002, 347, 1227–1232.

    Mariani L. , 'Twenty-year follow-up of a randomized study comparing breast-conserving surgery with radical mastectomy for early breast cancer ' (2002 ) 347 N. Engl. J. Med. : 1227 -1232.

    • Search Google Scholar
  • Lázár Gy.: Az emlőrák sebészi kezelése – 2009. Orv. Hetil., 2009, 150, 2291–2296.

    Lázár Gy. , 'Az emlőrák sebészi kezelése – 2009 ' (2009 ) 150 Orv. Hetil. : 2291 -2296.

    • Search Google Scholar
  • Kásler M., Polgár Cs., Fodor J.: A korai emlőrák kezelésének aktuális helyzete. Orv. Hetil., 2009, 150, 1013–1021.

    Fodor J. , 'A korai emlőrák kezelésének aktuális helyzete ' (2009 ) 150 Orv. Hetil. : 1013 -1021.

    • Search Google Scholar
  • Fitoussi, A., Berry, M. G., Couturaud, B. és mtsa: Oncoplastic and reconstructive surgery for breast. Springer-Verlag, Berlin, Heidelberg, 2009.

    Couturaud B. , '', in Oncoplastic and reconstructive surgery for breast , (2009 ) -.

  • Cordeiro, P. G.: Breast reconstruction after surgery for breast cancer. N. Engl. J. Med., 2008, 359, 1590–1601.

    Cordeiro P. G. , 'Breast reconstruction after surgery for breast cancer ' (2008 ) 359 N. Engl. J. Med. : 1590 -1601.

    • Search Google Scholar
  • Baildam, A. D.: Oncoplastic surgery of the breast. Br. J. Surg., 2002, 89, 532–533.

    Baildam A. D. , 'Oncoplastic surgery of the breast ' (2002 ) 89 Br. J. Surg. : 532 -533.

  • Association of breast surgery at BASO, BAPRAS and the training interface group in breast surgery: Oncoplastic breast surgery. A guide to good practice. EJSO, 2007, 33 (Suppl. 1), S1–S23.

    'Oncoplastic breast surgery. A guide to good practice ' (2007 ) 33 EJSO : S1 -S23.

  • Clough, K. B., Baruch, J.: Plastic surgery and conservative treatment of breast cancer. Indications and results. Ann. Chir. Plast. Esthet., 1992, 37, 682–692.

    Baruch J. , 'Plastic surgery and conservative treatment of breast cancer. Indications and results ' (1992 ) 37 Ann. Chir. Plast. Esthet. : 682 -692.

    • Search Google Scholar
  • Gabka, C. J., Baumeister, R. G., Maiwald, G.: Advancements of breast conserving therapy by oncoplastic surgery in the management of breast cancer. Anticancer Res., 1998, 18, 2219–2224.

    Maiwald G. , 'Advancements of breast conserving therapy by oncoplastic surgery in the management of breast cancer ' (1998 ) 18 Anticancer Res. : 2219 -2224.

    • Search Google Scholar
  • Lázár Gy., Besznyák I., Boross G. és mtsai: Az emlőrák korszerű sebészi kezelése. Magy. Onkol., 2010, 54, 211–216.

    Boross G. , 'Az emlőrák korszerű sebészi kezelése ' (2010 ) 54 Magy. Onkol. : 211 -216.

  • Multon, O., Bourgeois, D., Validire, P. és mtsai: Breast cancer with central localization: conservative treatment by tumorectomy with ablation of the areolar plaque. Presse Med., 1997, 26, 988–994.

    Validire P. , 'Breast cancer with central localization: conservative treatment by tumorectomy with ablation of the areolar plaque ' (1997 ) 26 Presse Med. : 988 -994.

    • Search Google Scholar
  • Lagios, M. D., Gates, E. A., Westdahl, P. R. és mtsai: A guide to the frequency of nipple involvement in breast cancer: A study of 149 consecutive mastectomies using a serial subgross and correlated radiographic technique. Am. J. Surg., 1979, 138, 135–142.

    Westdahl P. R. , 'A guide to the frequency of nipple involvement in breast cancer: A study of 149 consecutive mastectomies using a serial subgross and correlated radiographic technique ' (1979 ) 138 Am. J. Surg. : 135 -142.

    • Search Google Scholar
  • Fowble, B., Solin, L. J., Scultz, D. J. és mtsa: Breast recurrence and survival related to primary location in patients undergoing conservative surgery and radiation for early-stage breast cancer. Radiat. Oncol. Biol. Phys., 1992, 23, 933–939.

    Scultz D. J. , 'Breast recurrence and survival related to primary location in patients undergoing conservative surgery and radiation for early-stage breast cancer ' (1992 ) 23 Radiat. Oncol. Biol. Phys. : 933 -939.

    • Search Google Scholar
  • Pezzi, C. M., Kukora, J. S., Audet, I. M. és mtsai: Breast conservation surgery using nipple-areolar resection for central breast cancers. Arch. Surg., 2004, 139, 32–37.

    Audet I. M. , 'Breast conservation surgery using nipple-areolar resection for central breast cancers ' (2004 ) 139 Arch. Surg. : 32 -37.

    • Search Google Scholar
  • Danoff, B., Pajak, T., Solin, L. és mtsa: Excisional biopsy, axillary node dissection and definitive radiotherapy for stages 1 and 2 breast cancer. Int. J. Radiat. Oncol. Biol. Phys., 1985, 11, 479–485.

    Solin L. , 'Excisional biopsy, axillary node dissection and definitive radiotherapy for stages 1 and 2 breast cancer ' (1985 ) 11 Int. J. Radiat. Oncol. Biol. Phys. : 479 -485.

    • Search Google Scholar
  • Simmons, R. M., Brennan, M., Christosm P. és mtsai: Analysis of nipple/areolar involvement with mastectomy: Can the areola be preserved? Ann. Surg. Oncol., 2002, 9, 165–168.

    Christosm P. , 'Analysis of nipple/areolar involvement with mastectomy: Can the areola be preserved? ' (2002 ) 9 Ann. Surg. Oncol. : 165 -168.

    • Search Google Scholar
  • Galimberti, V., Zurrida, S., Zanini, V. és mtsai: Central small size breast cancer: How to overcome the problem of nipple and areola involvement. Eur. J. Cancer, 1993, 29A, 1093–1096.

    Zanini V. , 'Central small size breast cancer: How to overcome the problem of nipple and areola involvement ' (1993 ) 29A Eur. J. Cancer : 1093 -1096.

    • Search Google Scholar
  • Schondorf, N. K.: The technique of B-, S- or W- reduction mammaplasty in the conservative therapy of breast carcinoma: Experiences with a new surgical technique. The Breast, 2001, 10, 501–507.

    Schondorf N. K. , 'The technique of B-, S- or W- reduction mammaplasty in the conservative therapy of breast carcinoma: Experiences with a new surgical technique ' (2001 ) 10 The Breast : 501 -507.

    • Search Google Scholar
  • Cense, H. A., Rutgers, E. J., Lopes Cordozo, M. és mtsa: Nipple-sparing mastectomy in breast cancer: a viable option? Eur. J. Surg. Oncol., 2001, 27, 521–526.

    Lopes Cordozo M. , 'Nipple-sparing mastectomy in breast cancer: a viable option? ' (2001 ) 27 Eur. J. Surg. Oncol. : 521 -526.

    • Search Google Scholar
  • Wertheim, U., Ozello, L.: Neoplastic involvement of nipple and skin flap in carcinoma of the breast. Am. J. Surg. Pathol., 1980, 4, 543–549.

    Ozello L. , 'Neoplastic involvement of nipple and skin flap in carcinoma of the breast ' (1980 ) 4 Am. J. Surg. Pathol. : 543 -549.

    • Search Google Scholar
  • Laronga, C., Kemp, B., Johnston, D. és mtsai: The incidence of occult nipple-areola complex involvement in breast cancer patients receiving a skin sparing mastectomy. Ann. Surg. Oncol., 1999, 6, 609–611.

    Johnston D. , 'The incidence of occult nipple-areola complex involvement in breast cancer patients receiving a skin sparing mastectomy ' (1999 ) 6 Ann. Surg. Oncol. : 609 -611.

    • Search Google Scholar
  • Fisher, B., Anderson, S., Redmond, C. K. és mtsai: Reanalysis and results after 12 years of follow-up in a randomized clinical trial comparing total mastectomy with lumpectomy with or without irradiation in the treatment of breast cancer. N. Engl. J. Med., 1995, 333, 1456–1461.

    Redmond C. K. , 'Reanalysis and results after 12 years of follow-up in a randomized clinical trial comparing total mastectomy with lumpectomy with or without irradiation in the treatment of breast cancer ' (1995 ) 333 N. Engl. J. Med. : 1456 -1461.

    • Search Google Scholar
  • Smith, J., Payne, W. S., Carney, J. A.: Involvement of the nipple and areola in carcinoma of the breast. Surg. Gynaecol. Obstet., 1976, 143, 56–58.

    Carney J. A. , 'Involvement of the nipple and areola in carcinoma of the breast ' (1976 ) 143 Surg. Gynaecol. Obstet. : 56 -58.

    • Search Google Scholar
  • Cucin, R. L., Guthrie, R. H. Jr., Luterman, A. és mtsai: Screening the nipple for involvement in breast cancer. Ann. Plast. Surg., 1980, 5, 477–479.

    Luterman A. , 'Screening the nipple for involvement in breast cancer ' (1980 ) 5 Ann. Plast. Surg. : 477 -479.

    • Search Google Scholar
  • National Comprehensive Cancer Network. Breast cancer: NCCN clinical practice guidelines in oncology. (Accessed September 15, 2008, at http://www.nccn.org/professionals/physician_gls/PDF/breast.pdf .)

  • Gajdos, C., Tartter, P. I., Bleiweiss, I. J.: Subareolar breast cancers. Am. J. Surg., 2000, 180, 167–170.

    Bleiweiss I. J. , 'Subareolar breast cancers ' (2000 ) 180 Am. J. Surg. : 167 -170.

  • Dixon, A. R., Galea, M. H., Ellis, I. O. és mtsai: Paget’s disease of the nipple. Br. J. Surg., 1991, 78, 722–723.

    Ellis I. O. , 'Paget’s disease of the nipple ' (1991 ) 78 Br. J. Surg. : 722 -723.

  • Lagios, M. D., Westdahl, P. R., Rose, M. R. és mtsa: Paget’s disease of the nipple: Alternative management in cases without or with minimal extent of underlying breast carcinoma. Cancer, 1984, 54, 545–551.

    Rose M. R. , 'Paget’s disease of the nipple: Alternative management in cases without or with minimal extent of underlying breast carcinoma ' (1984 ) 54 Cancer : 545 -551.

    • Search Google Scholar
  • Bijker, N., Rutgers, E. J. T., Duchateau, L. és mtsai: Breast conserving therapy for Paget disease of the nipple. Cancer, 2001, 91, 472–477.

    Duchateau L. , 'Breast conserving therapy for Paget disease of the nipple ' (2001 ) 91 Cancer : 472 -477.

    • Search Google Scholar
  • Barkley, L.: Breast conservation surgery with radiotherapy effective in Paget disease. Cancer, 2003, 97, 2142–2149.

    Barkley L. , 'Breast conservation surgery with radiotherapy effective in Paget disease ' (2003 ) 97 Cancer : 2142 -2149.

    • Search Google Scholar
  • Cochrane, R., Valasiadou, P., Wilson, A. és mtsai: Cosmesis and satisfaction after breast conserving surgery correlates with the percentage of breast volume excised. Br. J. Surg., 2003, 90, 150–155.

    Wilson A. , 'Cosmesis and satisfaction after breast conserving surgery correlates with the percentage of breast volume excised ' (2003 ) 90 Br. J. Surg. : 150 -155.

    • Search Google Scholar
  • Sawai, K., Nakajima, H., Mizuta, N. és mtsai: Minimally invasive surgery for breast cancer (Abstr.). Gan To Kagaku Ryoho, 2001, 28, 1063–1070.

    Mizuta N. , 'Minimally invasive surgery for breast cancer (Abstr.) ' (2001 ) 28 Gan To Kagaku Ryoho : 1063 -1070.

    • Search Google Scholar
  • Cothier-Savey, I., Otmezguine, Y., Calitchi, E. és mtsai: Value of reduction mammoplasty in the conservative treatment of breast neoplasms (A propos of 70 cases). Ann. Chir. Plast. Esthet., 1996, 41, 346–353.

    Calitchi E. , 'Value of reduction mammoplasty in the conservative treatment of breast neoplasms (A propos of 70 cases) ' (1996 ) 41 Ann. Chir. Plast. Esthet. : 346 -353.

    • Search Google Scholar
  • Petit, J. Y., Rietjens, M., Garusi, C. és mtsai: Integration of plastic surgery in the course of breast conserving surgery for cancer to improve cosmetic results and radicality of tumor excision. Recent. Results. Cancer. Res., 1998, 152, 202–211.

    Garusi C. , 'Integration of plastic surgery in the course of breast conserving surgery for cancer to improve cosmetic results and radicality of tumor excision ' (1998 ) 152 Recent. Results. Cancer. Res. : 202 -211.

    • Search Google Scholar
  • Mustonen, P., Harma, M.: Viewpoints on oncoplastic surgery in invasive breast cancer. Scand. J. Surg., 2002, 91, 258–262.

    Harma M. , 'Viewpoints on oncoplastic surgery in invasive breast cancer ' (2002 ) 91 Scand. J. Surg. : 258 -262.

    • Search Google Scholar
  • Flierl, D., Hanker, J. P.: Oncoplastic techniques for immediate reconstruction with nipple-areolar preservation following radical resection of a centrally located breast cancer. Zentralbl. Gynaekol., 2001, 123, 399–402.

    Hanker J. P. , 'Oncoplastic techniques for immediate reconstruction with nipple-areolar preservation following radical resection of a centrally located breast cancer ' (2001 ) 123 Zentralbl. Gynaekol. : 399 -402.

    • Search Google Scholar
  • Benelli, L.: A new periareolar mammoplasty: the “round block” technique. Aesth. Plast. Surg., 1990, 14, 93–100.

    Benelli L. , 'A new periareolar mammoplasty: the “round block” technique ' (1990 ) 14 Aesth. Plast. Surg. : 93 -100.

    • Search Google Scholar
  • Strombeck, J. O.: Reduction mammaplasty by upper and lower glandular resection. In: Plastic and reconstructive surgery of the breast. Ed.: Goldwin, R. M. Boston, Little, Brown and Co., 1976, 195–214.

    Strombeck J. O. , '', in Plastic and reconstructive surgery of the breast , (1976 ) -.

  • Naguib, S. F.: Oncoplastic resection of retroareolar breast cancer: central quadrantectomy and reconstruction by local skin-glandular flap journal of the Egyptian. Nat. Cancer Inst., 2006, 18, 334–347.

    Naguib S. F. , 'Oncoplastic resection of retroareolar breast cancer: central quadrantectomy and reconstruction by local skin-glandular flap journal of the Egyptian ' (2006 ) 18 Nat. Cancer Inst. : 334 -347.

    • Search Google Scholar
  • Regnault, P.: Reduction mammaplasty by the „B” technique. Plast. Reconstr. Surg., 1974, 53, 19–24.

    Regnault P. , 'Reduction mammaplasty by the „B” technique ' (1974 ) 53 Plast. Reconstr. Surg. : 19 -24.

    • Search Google Scholar
  • Grisotti, A.: Immediate reconstruction after partial mastectomy. Operative techniques Plast. Reconstr. Surg., 1994, 1, 1–12.

    Grisotti A. , 'Immediate reconstruction after partial mastectomy ' (1994 ) 1 Operative techniques Plast. Reconstr. Surg. : 1 -12.

    • Search Google Scholar
  • Dale, P. S., Giuliano, A. E.: Nipple-areolar preservation during breast-conserving therapy for subareolar breast carcinomas. Arch. Surg., 1996, 131, 430–433.

    Giuliano A. E. , 'Nipple-areolar preservation during breast-conserving therapy for subareolar breast carcinomas ' (1996 ) 131 Arch. Surg. : 430 -433.

    • Search Google Scholar
  • Calderoli, H., Piat, J. M.: Treatment of breast cancer located behind the nipple with musculocutaneous flap from the latissimus dorsi. 2. Analysis of a series of 14 cases. Chirurgie, 1996, 121, 40–42.

    Piat J. M. , 'Treatment of breast cancer located behind the nipple with musculocutaneous flap from the latissimus dorsi. 2. Analysis of a series of 14 cases ' (1996 ) 121 Chirurgie : 40 -42.

    • Search Google Scholar
  • Clough, K. B., Nos, C., Salmon, R. J. és mtsai: Conservative treatment of breast cancers by mammaplasty and irradiation; a new approach to lower quadrant tumors. Plast. Reconstr. Surg., 1995, 96, 363–370.

    Salmon R. J. , 'Conservative treatment of breast cancers by mammaplasty and irradiation; a new approach to lower quadrant tumors ' (1995 ) 96 Plast. Reconstr. Surg. : 363 -370.

    • Search Google Scholar
  • Goldhirsch, A., Ingle, J. N., Gelber, R. D. és mtsai: Thresholds for therapies: highlights of the St Gallen International Expert Consensus on the Primary Therapy of Early Breast Cancer 2009. Ann. Oncol., 2009, 20, 1319–1329.

    Gelber R. D. , 'Thresholds for therapies: highlights of the St Gallen International Expert Consensus on the Primary Therapy of Early Breast Cancer 2009 ' (2009 ) 20 Ann. Oncol. : 1319 -1329.

    • Search Google Scholar