Emiroğlu Mustafa, Inal Abdullah, Sert İsmail, İlhan Enver, Peker Kemal, Gulcelik Mehmet Ali, Gürçelik Mehmet Ali, Güngör Hilmi, Salimoğlu Semra, Can Didem, Ellidokuz Hülya, Aydın Cengiz
Department of Surgery, Tepecik Training and Research Hospital, Izmir, Turkey
Breast Cancer. 2015 Jul;22(4):421-6. doi: 10.1007/s12282-013-0500-4.
The aim of this study was to investigate the experience, practice and approaches of general surgeons in relation to the treatment of breast cancer in Turkey.
A survey was conducted between November 2012 and February 2013 with 453 general surgeons who claimed to perform breast surgery. Initial and most preferred approaches for breast cancer surgery and demographic features of participants were questioned. Initial approaches of surgeons for a suspected breast mass were assessed with a clinical scenario.
A total of 12.6 % of practicing general surgeons in Turkey responded to the survey. A multidisciplinary assessment was employed by 57.2 % of participants. The most frequently used diagnostic tool was needle biopsies (64.9 %) and the most frequently performed surgery for early stage cancers was breast-conserving surgery (72.2 %). The initial approach for locally advanced breast cancer was neoadjuvant chemotherapy (59.8 %) and mastectomy for metastatic cancer (22.7 %). Sentinel lymph node biopsies were utilized by 59.2 % of participants by different methods in appropriate cases. Oncoplastic breast surgery was performed by 9.0 % of participants, frequently or constantly. The surgeons' initial approaches for the clinical scenario were imaging (56.7 %) and biopsy (40.6 %).
Although there are efforts to improve up-to-date approaches towards breast cancer surgery by surgeons, currently there are significant inadequacies for evidence-based medicine practices.
本研究旨在调查土耳其普通外科医生在乳腺癌治疗方面的经验、做法和方法。
在2012年11月至2013年2月期间，对453名声称进行乳腺手术的普通外科医生进行了一项调查。询问了乳腺癌手术的初始和最常用方法以及参与者的人口统计学特征。通过一个临床病例评估外科医生对疑似乳腺肿块的初始方法。
土耳其共有12.6%的执业普通外科医生对该调查做出了回应。57.2%的参与者采用了多学科评估。最常用的诊断工具是针吸活检（64.9%），早期癌症最常进行的手术是保乳手术（72.2%）。局部晚期乳腺癌的初始方法是新辅助化疗（59.8%），转移性癌症则是乳房切除术（22.7%）。59.2%的参与者在适当情况下采用不同方法进行前哨淋巴结活检。9.0%的参与者经常或持续进行肿瘤整形乳房手术。外科医生对临床病例的初始方法是影像学检查（56.7%）和活检（40.6%）。
尽管外科医生努力改进乳腺癌手术的最新方法，但目前循证医学实践仍存在重大不足。
