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  • 1 Országos Onkológiai Intézet Általános és Mellkassebészeti Osztály Budapest Ráth György u. 7–9. 1122
  • 2 Országos Onkológiai Intézet Fej-Nyak, Állcsont- és Rekonstrukciós Sebészet, Onkológiai Helyreállító Plasztikai Sebészet és Lézersebészeti Osztály Budapest
  • 3 Országos Onkológiai Intézet Intézeti Gyógyszertár Budapest
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Napjainkban egyre több klinikai tapasztalat kerül ismertetésre az emlőbimbó-megtartó mastectomiákról. A műtét a tumorosan nem érintett bőr és emlőbimbó-areola komplex megőrzésével nagyban elősegíti az azonnali rekonstrukciót és az esztétikai eredményességet. A beavatkozás azonban komoly onkológiai aggályokat is felvet az emlőbimbóban és retroareolarisan visszamaradó parenchyma esetleges okkult vagy új primer tumoros rizikójával kapcsolatosan. A módszer egyre fokozódó népszerűsége ellenére nem áll rendelkezésre bizonyítékon alapuló igazolás. Az irodalmi adatok alapján az emlőbimbó-megtartó mastectomia onkológiai megbízhatóságáról egyértelmű következtetést nem lehet levonni, így az eljárás jelenleg általánosan nem képezi alternatíváját a standard mastectomiának. A kockázatcsökkentő indikációkban a beavatkozás létjogosultsága megalapozottnak tűnik és várhatóan elősegíti, hogy a nagy kockázatú betegek nagyobb arányban elfogadják a sebészi profilaxist. Az eljárás jól szelektált betegeknél, megfelelő pre- és intraoperatív vizsgálatokkal, precíz technikával a beteg adekvát felvilágosítása mellett, a nemzetközi ajánlásoknak megfelelően, lehetőség szerint klinikai vizsgálatok kereteiben folytatandó. Az érdemi véleményalkotáshoz további hosszú távú eredmények szükségesek. A szerzők közleményükben magyar nyelven elsőként ismertetik részletesen a műtét technikáját és adnak széles körű irodalmi áttekintést. Orv. Hetil., 2011, 152, 1233–1249.

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