Barnsley G Philip, Grunfeld Eva, Coyle Douglas, Paszat Lawrence
Halifax, Nova Scotia, and Ottawa and Toronto, Ontario, Canada From the Department of Surgery, Division of Plastic Surgery, the Department of Medicine, Division of Medical Oncology, and the Department of Community Health and Epidemiology, Dalhousie University; Department of Epidemiology and Community Medicine, University of Ottawa; Ottawa Health Research Institute; Institute for Clinical Evaluative Sciences; and Sunnybrook and Women's College Health Sciences Center.
Plast Reconstr Surg. 2007 Oct;120(5):1125-1132. doi: 10.1097/01.prs.0000279143.66781.9a.
Both the prevalence of breast cancer and the number of breast cancer patients seeking breast reconstruction are increasing, highlighting the importance for evidence to direct the clinician in the follow-up of these patients. Current practice guidelines recommend surveillance mammography of the contralateral breast in all breast cancer patients, and of the ipsilateral breast in women treated with breast-conserving surgery. However, there are no guidelines specifically addressing the role of surveillance mammography for women who have undergone mastectomy and breast reconstruction.
A systematic review was conducted to identify studies specifically addressing the issue of surveillance mammography among women with breast reconstruction following treatment for primary breast cancer.
This systematic review identified eight articles, consisting of case reports and case series, that address the issue of surveillance mammography of the ipsilateral breast in women with breast reconstruction. The articles demonstrated that certain local recurrences are able to be detected by surveillance mammography.
This study has demonstrated the paucity of evidence and highlighted the need for further research to evaluate this issue.
乳腺癌的患病率以及寻求乳房重建的乳腺癌患者数量均在增加，这凸显了为临床医生提供证据以指导这些患者后续治疗的重要性。当前的实践指南建议，对所有乳腺癌患者的对侧乳房进行乳腺钼靶监测，对接受保乳手术的女性的同侧乳房进行乳腺钼靶监测。然而，对于接受乳房切除术和乳房重建的女性，尚无专门针对乳腺钼靶监测作用的指南。
进行了一项系统评价，以确定专门针对原发性乳腺癌治疗后乳房重建女性乳腺钼靶监测问题的研究。
该系统评价确定了八篇文章，包括病例报告和病例系列，涉及乳房重建女性同侧乳房的乳腺钼靶监测问题。这些文章表明，通过乳腺钼靶监测能够检测到某些局部复发。
本研究表明证据不足，并强调需要进一步研究以评估该问题。
