Loftus Loretta S, Sokol Gerald H, Laronga Christine
From the Department of Breast Oncology, Moffitt Cancer Center and Research Institute, Tampa, Florida, and the Department of Medicine and Clinical Pharmacology, Uniformed Services University of Health Sciences, Bethesda, Maryland.
South Med J. 2017 Oct;110(10):673-677. doi: 10.14423/SMJ.0000000000000701.
The number of breast cancer survivors has increased and this increase is expected to continue, likely as a result of population and age growth, the implementation of earlier detection strategies, and the development of more effective therapies. Breast cancer treatment requires a multidisciplinary approach with surgery, radiation, chemotherapy, targeted therapy, and hormonal therapy. Breast cancer survivors may develop various long-term adverse effects from these therapies. Care of the survivor may transition eventually to the primary care physician. Survivorship care plans have been developed to facilitate care transition, guide the content and coordination of posttreatment care, and engender greater self-management of health by cancer survivors. Guidelines for posttreatment follow-up care are discussed in this article, and interventions that patients may practice to promote a healthy lifestyle also are presented.
乳腺癌幸存者的数量有所增加,预计这一增长还将持续,这可能是由于人口增长、年龄增长、早期检测策略的实施以及更有效治疗方法的发展。乳腺癌治疗需要采用多学科方法,包括手术、放疗、化疗、靶向治疗和激素治疗。这些治疗可能会给乳腺癌幸存者带来各种长期不良影响。对幸存者的护理最终可能会过渡到初级保健医生手中。已制定了幸存者护理计划,以促进护理过渡、指导治疗后护理的内容和协调,并促使癌症幸存者更好地进行自我健康管理。本文讨论了治疗后随访护理的指南,还介绍了患者为促进健康生活方式可采取的干预措施。