Moore Susan
Clin J Oncol Nurs. 2002 Sep-Oct;6(5):255-60. doi: 10.1188/02.CJON.255-260.
Breast cancer is the most commonly diagnosed cancer in women and the second leading cause of cancer deaths among women in the United States. Many women diagnosed with breast cancer will achieve a cure with surgery followed by adjuvant chemotherapy, hormonal therapy, or radiation therapy; however, some breast cancer survivors will develop locally recurrent disease. Skin metastases are one of the most distressing presentations of locally recurrent breast cancer. The purpose of this article is to increase oncology nurses' understanding of the pathophysiology of cutaneous metastases, facilitate recognition of the various presentations of cutaneous metastatic breast cancer, discuss management of both the underlying disease process and skin lesions, and identify issues of psychosocial support for patients and families throughout the continuum of illness.
乳腺癌是女性中最常被诊断出的癌症,也是美国女性癌症死亡的第二大主要原因。许多被诊断出患有乳腺癌的女性通过手术,随后进行辅助化疗、激素治疗或放射治疗可以实现治愈;然而,一些乳腺癌幸存者会出现局部复发性疾病。皮肤转移是局部复发性乳腺癌最令人痛苦的表现之一。本文的目的是增进肿瘤学护士对皮肤转移病理生理学的理解,促进对皮肤转移性乳腺癌各种表现的识别,讨论潜在疾病过程和皮肤病变的管理,并确定在疾病的整个过程中为患者及其家庭提供心理社会支持的问题。