Matter M, Dusmet M, Chevalley F
Service de chirurgie, Centre Hospitalier Universitaire Vaudois, Lausanne.
Rev Med Suisse Romande. 2000 Jun;120(6):485-90.
In the multidisciplinary treatment of locally advanced and metastatic breast cancer, aggressive surgical options can be chosen in selected cases. They may allow: survival to be prolonged by the resection of metastases (liver, ovary, lung), symptomatic treatment (bone pain, local recurrence, infiltration of the chest wall), prevention of potentially disabling complications (pathologic fractures, medullary compression), exclusion of another tumoural or non tumoural diseases. The decision to perform surgery has to be discussed between the surgeon and the oncologist so as to optimise its timing. Surgical treatment can follow induction therapy or can precede chemo- or hormonotherapy.
在局部晚期和转移性乳腺癌的多学科治疗中，在特定病例中可选择积极的手术方案。这些方案可能带来以下效果：通过切除转移灶（肝脏、卵巢、肺）延长生存期，进行症状性治疗（骨痛、局部复发、胸壁浸润），预防可能导致功能障碍的并发症（病理性骨折、髓腔压迫），排除其他肿瘤性或非肿瘤性疾病。手术决策必须由外科医生和肿瘤学家共同商讨，以优化手术时机。手术治疗可在诱导治疗之后进行，也可在化疗或激素治疗之前进行。
