Molckovsky Andrea, Fitzgerald Barbara, Freedman Orit, Heisey Ruth, Clemons Mark
Division of Hematology and Medical Oncology at Princess Margaret Hospital in Toronto, Ont.
Can Fam Physician. 2009 Jan;55(1):25-31.
To review the definition, clinical presentation, and management of inflammatory breast cancer in primary care.
Relevant research and review articles, as well as personal experience of the authors practising in a specialized locally advanced breast cancer program at a comprehensive cancer centre. Evidence is levels II and III.
Inflammatory breast cancer is a rare disease that typically presents with a rapidly enlarging erythematous breast, often with no discernable breast mass. Identification of warning signs and recognition of clinical symptoms are crucial to prompt diagnosis and appropriate referral. Management in the primary care setting includes treatment of symptoms, psychosocial support, regular surveillance and follow-up, as well as palliative care.
Family physicians are usually the entry point to the health care system and are well positioned to assess inflammation of the breast and recognize the warning signs of an underlying inflammatory breast cancer. They are also important members of the team that provides support for breast cancer patients and their families during treatment, follow-up, and end-of-life care.
回顾基层医疗中炎性乳腺癌的定义、临床表现及管理。
相关研究和综述文章，以及作者在综合癌症中心专门的局部晚期乳腺癌项目中执业的个人经验。证据等级为II级和III级。
炎性乳腺癌是一种罕见疾病，通常表现为乳房迅速增大、发红，常无明显乳房肿块。识别警示信号和认识临床症状对于及时诊断和恰当转诊至关重要。基层医疗环境中的管理包括症状治疗、心理社会支持、定期监测和随访以及姑息治疗。
家庭医生通常是医疗保健系统的切入点，具备良好条件来评估乳房炎症并识别潜在炎性乳腺癌的警示信号。他们也是在治疗、随访及临终关怀期间为乳腺癌患者及其家属提供支持的团队的重要成员。
