在早期乳腺癌中，乳房切除术在肿瘤学上比保乳治疗更安全吗？
Is Mastectomy Oncologically Safer than Breast-Conserving Treatment in Early Breast Cancer?
作者信息
Riedel Fabian, Hennigs André, Hug Sarah, Schaefgen Benedikt, Sohn Christof, Schuetz Florian, Golatta Michael, Heil Jörg
机构信息
Department of Obstetrics and Gynecology, University of Heidelberg, Medical School, Heidelberg, Germany.
出版信息
Breast Care (Basel). 2017 Dec;12(6):385-390. doi: 10.1159/000485737. Epub 2017 Dec 12.
Abstract
AIM
To describe and discuss the evidence for oncological safety of different procedures in oncological breast surgery, i.e. breast-conserving treatment versus mastectomy.
METHODS
Literature review and discussion.
RESULTS
Oncological safety in breast cancer surgery has many dimensions. Breast-conserving treatment has been established as the standard surgical procedure for primary breast cancer and fits to the preferences of most breast cancer patients concerning oncological safety and aesthetic outcome.
CONCLUSIONS
Breast-conserving treatment is safe. Nonetheless, the preferences of the individual patients in their consideration of breast conservation versus mastectomy should be integrated into routine treatment decisions.
摘要
目的
描述并讨论肿瘤学保乳手术中不同术式（即保乳治疗与乳房切除术）肿瘤学安全性的证据。
方法
文献综述与讨论。
结果
乳腺癌手术的肿瘤学安全性具有多个维度。保乳治疗已成为原发性乳腺癌的标准手术方式，并且符合大多数乳腺癌患者在肿瘤学安全性和美学效果方面的偏好。
结论
保乳治疗是安全的。尽管如此，在常规治疗决策中应综合考虑个体患者对于保乳与乳房切除的偏好。
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