Sanguinetti A, Polistena A, Luchini R, Monacelli M, Avenia S, Galasse S, Cirocchi R, Avenia N
G Chir. 2017 Mar-Apr;38(2):61-65. doi: 10.11138/gchir/2017.38.2.061.
Many of the women newly diagnosed with breast cancer not have access to all the information they need to make the surgical and treatment choices that are most appropriate for them. Research clearly shows that lumpectomy and other breast-conserving surgeries are just as safe as mastectomy for most women with early stage disease, and yet approximately half will undergo the more disfiguring procedures, but many healthy women who have strong family histories of breast cancer consider prophylactic mastectomies, and their decisions are also based on very limited information, because there are few studies showing the effectiveness of that procedure. This paper delineates how to avoid limited information and biased recommendations is important for a conscious and informed choice by the patients.
许多新诊断出乳腺癌的女性无法获取做出最适合自己的手术和治疗选择所需的全部信息。研究清楚地表明，对于大多数早期疾病的女性来说，乳房肿瘤切除术和其他保乳手术与乳房切除术一样安全，然而大约一半的女性仍会接受更具毁容性的手术，而且许多有乳腺癌家族病史的健康女性考虑进行预防性乳房切除术，她们的决定同样基于非常有限的信息，因为很少有研究表明该手术的有效性。本文阐述了如何避免信息有限和有偏见的建议对于患者做出明智和知情的选择很重要。
