Evaluation of therapeutic mammoplasty techniques in the surgical management of female patients with idiopathic granulomatous mastitis with mild to moderate inflammatory symptoms in terms of recurrence and patients' satisfaction.
2/5 보강
PICO 자동 추출 (휴리스틱, conf 2/4)
유사 논문P · Population 대상 환자/모집단
2 patients (15.
I · Intervention 중재 / 시술
추출되지 않음
C · Comparison 대조 / 비교
추출되지 않음
O · Outcome 결과 / 결론
[RESULTS] Early postoperative bleeding that was encountered in one patient (7.7%) was the only serious postoperative complication.
ℹ️ 이 논문은 무료 전문이 아직 없습니다. 코퍼스 전체의 43.9%는 무료 가능 (통계 →) · 🏥 기관 EZproxy로 시도
【연구 목적】 특발성 육아종성 유방염(IGM)은 젊은 여성에게 발생하며, 기존 수술적 치료는 유방 변형을 초래할 수 있어 미용적 결과를 개선하고 재발을 줄일 수 있는 치료적 유방성형술(therapeutic mammoplasty)의 효용성을 평가하고자 하였다.
APA
Ahmed YS, Abd El Maksoud W (2016). Evaluation of therapeutic mammoplasty techniques in the surgical management of female patients with idiopathic granulomatous mastitis with mild to moderate inflammatory symptoms in terms of recurrence and patients' satisfaction.. Breast disease, 36(1), 37-45. https://doi.org/10.3233/BD-150198
MLA
Ahmed YS, et al.. "Evaluation of therapeutic mammoplasty techniques in the surgical management of female patients with idiopathic granulomatous mastitis with mild to moderate inflammatory symptoms in terms of recurrence and patients' satisfaction.." Breast disease, vol. 36, no. 1, 2016, pp. 37-45.
PMID
27177342 ↗
Abstract 한글 요약
[BACKGROUND] Although idiopathic granulomatous mastitis (IGM) affects young females, its surgical management usually leads to disfigurement of the breasts.
[OBJECTIVES] To assess the use of therapeutic mammoplasty techniques for management of IGM in terms of recurrence and postoperative patients' satisfaction.
[METHODS] This prospective clinical study included thirteen patients who were diagnosed histologically as IGM. Patients with moderate to large breasts, who had a breast mass between 20-50% of the breast size with failed medical treatment or intolerability to steroids were subjected to therapeutic mammoplasty techniques. Only patients with large breasts were offered contra-lateral reduction mammoplasty to resume symmetry and achieve better aesthetic results.
[RESULTS] Early postoperative bleeding that was encountered in one patient (7.7%) was the only serious postoperative complication. Patient was re-operated and the bleeder was secured. Recurrence occurred in 2 patients (15.4%) at 16 and 24 months after the operation. Kyungpook National University Hospital (KNUH) breast reconstruction satisfaction questionnaire used to assess patients' satisfaction 6 months after the operation and revealed that 10 patients (76.9%) were satisfied after the operation.
[CONCLUSION] Using therapeutic mammoplasty techniques in surgical management of IGM in moderate to large breasts seems justifiable with good results regarding recurrence and postoperative patients' satisfaction.
[OBJECTIVES] To assess the use of therapeutic mammoplasty techniques for management of IGM in terms of recurrence and postoperative patients' satisfaction.
[METHODS] This prospective clinical study included thirteen patients who were diagnosed histologically as IGM. Patients with moderate to large breasts, who had a breast mass between 20-50% of the breast size with failed medical treatment or intolerability to steroids were subjected to therapeutic mammoplasty techniques. Only patients with large breasts were offered contra-lateral reduction mammoplasty to resume symmetry and achieve better aesthetic results.
[RESULTS] Early postoperative bleeding that was encountered in one patient (7.7%) was the only serious postoperative complication. Patient was re-operated and the bleeder was secured. Recurrence occurred in 2 patients (15.4%) at 16 and 24 months after the operation. Kyungpook National University Hospital (KNUH) breast reconstruction satisfaction questionnaire used to assess patients' satisfaction 6 months after the operation and revealed that 10 patients (76.9%) were satisfied after the operation.
[CONCLUSION] Using therapeutic mammoplasty techniques in surgical management of IGM in moderate to large breasts seems justifiable with good results regarding recurrence and postoperative patients' satisfaction.
【연구 목적】
특발성 육아종성 유방염(IGM)은 젊은 여성에게 발생하며, 기존 수술적 치료는 유방 변형을 초래할 수 있어 미용적 결과를 개선하고 재발을 줄일 수 있는 치료적 유방성형술(therapeutic mammoplasty)의 효용성을 평가하고자 하였다.
【방법】
본 전향적 임상 연구는 조직학적으로 IGM으로 진단된 13명의 여성 환자를 대상으로 하였다. 약물 치료 실패 또는 스테로이드 내약성이 없는 중대형 유방을 가진 환자들을 대상으로 치료적 유방성형술을 시행하였으며, 대칭성 회복과 미용적 결과를 위해 대형 유방 환자들에게는 대측 유방축소성형술(contra-lateral reduction mammoplasty)을 병행하였다.
【주요 결과】
조기 사후 출혈이 1명(7.7%)에서 발생하여 재수술을 통해 지혈하였으며, 수술 후 16개월과 24개월에 2명(15.4%)에서 재발이 관찰되었다. 수술 6개월 후 만족도 조사 결과, 10명(76.9%)이 수술 결과에 만족하는 것으로 나타났다.
【임상적 시사점 (성형외과 의사 관점)】
성형외과 의사는 IGM으로 인한 유방 조직의 파괴와 변형을 교정할 때, 단순 절제술보다 치료적 유방성형술을 고려할 수 있다. 특히 유방 조직의 양이 충분하여 재건이 가능한 중대형 유방 환자에서 이 기법은 재발률(15.4%)과 미용적 만족도(76.9%) 측면에서 유의미한 대안이 될 수 있다. 수술 전에는 스테로이드 등 약물 치료의 실패 여부와 염증의 활성도를 정확히 평가하여 수술 시기를 결정해야 한다. 대측 유방축소성형술을 병행할 경우 유방 대칭성을 회복할 수 있으나, 수술 시간 증가와 출혈 위험(본 연구에서 7.7%)을 인지하고 환자 상담 시 명확히 설명해야 한다. 또한 IGM은 재발 가능성이 있으므로 수술 후 장기적인 추적 관찰이 필요하며, 재발 시 추가적인 절제술이나 재건술의 가능성을 환자에게 사전에 고지해야 한다.
추출된 의학 개체 (NER)
전체 NER 표 보기
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | mammoplasty
|
유방성형술 | dict | 4 | |
| 해부 | breast
|
유방 | dict | 3 | |
| 시술 | reduction mammoplasty
|
유방성형술 | dict | 1 | |
| 해부 | breasts
|
scispacy | 1 | ||
| 해부 | contra-lateral
|
scispacy | 1 | ||
| 약물 | steroids
|
C0038317
Steroids
|
scispacy | 1 | |
| 질환 | idiopathic granulomatous mastitis
|
C0405469
Granulomatous Mastitis
|
scispacy | 1 | |
| 질환 | breast mass
|
C0024103
Mass in breast
|
scispacy | 1 | |
| 질환 | contra-lateral reduction
|
scispacy | 1 | ||
| 질환 | postoperative bleeding
|
C0032788
Postoperative Hemorrhage
|
scispacy | 1 | |
| 질환 | breasts
|
C0006141
Breast
|
scispacy | 1 |
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