Lyman Gary H, Baker Jay, Geradts Joseph, Horton Janet, Kimmick Gretchen, Peppercorn Jeffrey, Pruitt Scott, Scheri Randall P, Hwang E Shelley
Comparative Effectiveness and Outcomes Research Program, Department of Medicine, Duke Cancer Institute, Duke University School of Medicine, Durham, NC 27705, USA.
Surg Oncol Clin N Am. 2013 Apr;22(2):299-317. doi: 10.1016/j.soc.2012.12.005. Epub 2013 Jan 3.
There is a compelling need for close coordination and integration of multiple specialties in the management of patients with early-stage breast cancer. Optimal patient care and outcomes depend on the sequential and often simultaneous participation and dialogue between specialists in imaging, pathologic and molecular diagnostic and prognostic stratification, and the therapeutic specialties of surgery, radiation oncology, and medical oncology. These are but a few of the various disciplines needed to provide modern, sophisticated management. The essential role for coordinated involvement of the entire health care team in optimal management of patients with early-stage breast cancer is likely to increase further.
在早期乳腺癌患者的管理中,迫切需要多个专科密切协调与整合。最佳的患者护理和治疗效果取决于影像科、病理及分子诊断与预后分层专家以及外科、放射肿瘤学和内科肿瘤学等治疗专科专家之间的先后顺序且往往是同时进行的参与和对话。这些只是提供现代、精细管理所需的众多学科中的一部分。整个医疗团队协调参与对早期乳腺癌患者进行最佳管理的关键作用可能会进一步增强。