Sakorafas G H, Tsiotou A G, Pavlakis G
Department of Surgery, Hellenic Air Force Hospital, Athens, Greece.
Acta Oncol. 2000;39(8):935-40. doi: 10.1080/02841860050215918.
Follow-up after primary treatment for breast cancer is a routine practice aiming at early detection and management of local recurrences and/or distant metastases of the disease or of new primaries. Breast self-examination and periodic physical examination, mammography, and pelvic examination are the most important methods in following-up these patients. The, at one time, more popular intensive routine diagnostic evaluation (including head, chest, abdominal, and pelvic computerized tomography and/or magnetic resonance imaging, liver ultrasonography, bone scans, tumor markers, etc.) is not currently considered appropriate and cost-effective. However, flexibility, based on clinical judgement, is required on the part of medical staff involved in the follow-up in order appropriately to adapt the general guidelines and meet the specific needs of the individual patients. Non-specialist or non-physician models of follow-up care have been proposed as interesting and cost-effective alternatives in the follow-up of breast cancer patients.
乳腺癌初次治疗后的随访是一种常规做法，旨在早期发现并处理该疾病的局部复发和/或远处转移或新发原发性肿瘤。乳房自我检查、定期体格检查、乳房X线摄影及盆腔检查是对这些患者进行随访的最重要方法。曾经较为流行的强化常规诊断评估（包括头部、胸部、腹部及盆腔计算机断层扫描和/或磁共振成像、肝脏超声检查、骨扫描、肿瘤标志物等）目前被认为既不合适也不具有成本效益。然而，参与随访的医务人员需要根据临床判断保持灵活性，以便恰当地调整一般指南并满足个体患者的特殊需求。非专科医生或非医师随访护理模式已被提议作为乳腺癌患者随访中有趣且具有成本效益的替代方案。
