英格兰早期乳腺癌手术治疗的变化。
Changes in the surgical management of early breast cancer in England.
作者信息
Morris J, Royle G T, Taylor I
机构信息
Department of Psychology, University, Southampton.
出版信息
J R Soc Med. 1989 Jan;82(1):12-4. doi: 10.1177/014107688908200105.
A questionnaire survey of consultant surgeons in England indicates that there has been a considerable change in opinion over the past few years concerning the management of early breast cancer; only 39.1% would now perform mastectomy, whereas 64.4% would perform conservative surgery. The most common forms of management are simple mastectomy and axillary clearance (21.9%); wide excision, axillary clearance plus radiotherapy (20.1%); and wide excision plus radiotherapy alone (16.9%). The majority of the surgeons would offer patients a choice of surgery, but only 52% had access to a breast care nurse.
一项针对英格兰外科顾问医生的问卷调查表明，在过去几年中，对于早期乳腺癌的治疗，医生的观点发生了相当大的变化；现在只有39.1%的医生会进行乳房切除术，而64.4%的医生会进行保守手术。最常见的治疗方式是单纯乳房切除术和腋窝清扫术（21.9%）；广泛切除、腋窝清扫加放疗（20.1%）；以及仅广泛切除加放疗（16.9%）。大多数外科医生会为患者提供手术选择，但只有52%的医生能有乳腺护理护士协助。
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