Kasumi Fujio
Department of Breast Oncology, Cancer Institute Ganken Ariake Hospital.
Nihon Rinsho. 2006 Mar;64(3):513-9.
In performing BCT with radicality and cosmetism, the attitudes of breast oncologists in Japan and western countries are different at present. In Japan, our problem is to get surgical margin negative almost sacrificing the cosmetism. On the contrary, in western countries, they evaluate RT irrespective of margin status. Contrary to our expectation, results are almost equal in the point of radicality and IBTR. If both results are almost the same, it would be better and reasonable for us to adopt the western convenience and rationalism, of cause continuing our earnest attitude utmost.
在进行兼具根治性和美容效果的保乳手术(BCT)时,目前日本和西方国家的乳腺肿瘤医生态度有所不同。在日本,我们面临的问题是几乎要以牺牲美容效果为代价来确保手术切缘阴性。相反,在西方国家,他们无论切缘情况如何都会评估放疗(RT)。与我们的预期相反,在根治性和局部复发(IBTR)方面结果几乎相同。如果两种结果几乎一样,那么对我们来说,采用西方的便利性和合理性是更好且合理的,当然要始终保持我们认真的态度。