Iwase Hirotaka
Department of Breast and Endocrine Surgery, Postgraduate School of Medical and Pharmaceutical Sciences, Kumamoto University, Kumamoto, Japan.
Nihon Geka Gakkai Zasshi. 2007 Sep;108(5):242-5.
There is a clear difference in breast cancer medical examination and treatment between specialized and general hospitals. It is therefore necessary to develop guidelines for the standardization of breast cancer examination and treatment. Several guidelines have been published, such as those of the Japanese Breast Cancer Society and National Comprehensive Cancer Network and the recommendations for postoperative systemic treatment of St. Gallen. They are useful to disseminate standard therapy for patients with breast cancer. They include indicators such as adaptations of breast-conserving surgery, systemic chemoendocrine therapy, postoperative surveillance, etc. However, the discretion of an individual physician should not be limited by specific guidelines. In clinical practice various guidelines and new evidence should be considered, along with the status of each medical institution and each patient's philosophy.
专科医院和综合医院在乳腺癌的医学检查和治疗方面存在明显差异。因此，有必要制定乳腺癌检查和治疗标准化指南。已经发布了若干指南，如日本乳腺癌学会、美国国立综合癌症网络的指南以及圣加仑术后全身治疗建议。它们有助于为乳腺癌患者推广标准化治疗。这些指南包括保乳手术的适应证、全身化学内分泌治疗、术后监测等指标。然而，个别医生的判断力不应受到特定指南的限制。在临床实践中，应结合每个医疗机构的情况和每个患者的理念，考虑各种指南和新证据。
