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本文引用的文献

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Effect of Axillary Dissection vs No Axillary Dissection on 10-Year Overall Survival Among Women With Invasive Breast Cancer and Sentinel Node Metastasis: The ACOSOG Z0011 (Alliance) Randomized Clinical Trial.腋窝淋巴结清扫术与非腋窝淋巴结清扫术对浸润性乳腺癌伴前哨淋巴结转移女性患者10年总生存率的影响：美国外科医师学会肿瘤学组Z0011（联盟）随机临床试验
JAMA. 2017 Sep 12;318(10):918-926. doi: 10.1001/jama.2017.11470.
2
Growing Use of Contralateral Prophylactic Mastectomy Despite no Improvement in Long-term Survival for Invasive Breast Cancer.对侧预防性乳房切除术的使用日益增加，尽管对浸润性乳腺癌的长期生存并无改善。
Ann Surg. 2017 Mar;265(3):581-589. doi: 10.1097/SLA.0000000000001698.
3
How Does a Shared Decision-Making (SDM) Intervention for Oncologists Affect Participation Style and Preference Matching in Patients with Breast and Colon Cancer?针对肿瘤学家的共同决策（SDM）干预措施如何影响乳腺癌和结肠癌患者的参与方式及偏好匹配？
J Cancer Educ. 2018 Jun;33(3):708-715. doi: 10.1007/s13187-016-1146-7.
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Trends in mastectomy and reconstruction for breast cancer; a twelve year experience from a tertiary care center.乳腺癌乳房切除术及重建的趋势；来自一家三级护理中心的12年经验。
Am J Surg. 2016 Dec;212(6):1201-1210. doi: 10.1016/j.amjsurg.2016.08.020. Epub 2016 Sep 29.
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Breast-cancer subtype, age, and lymph node status as predictors of local recurrence following breast-conserving therapy.乳腺癌亚型、年龄及淋巴结状态作为保乳治疗后局部复发的预测因素。
Breast Cancer Res Treat. 2017 Jan;161(1):173-179. doi: 10.1007/s10549-016-4031-5. Epub 2016 Nov 3.
6
Changes in chemotherapy usage and outcome of early breast cancer patients in the last decade.过去十年早期乳腺癌患者化疗使用情况及治疗结果的变化。
Breast Cancer Res Treat. 2016 Dec;160(3):491-499. doi: 10.1007/s10549-016-4016-4. Epub 2016 Oct 15.
7
Prognosis of breast cancer molecular subtypes in routine clinical care: A large prospective cohort study.常规临床护理中乳腺癌分子亚型的预后：一项大型前瞻性队列研究。
BMC Cancer. 2016 Sep 15;16(1):734. doi: 10.1186/s12885-016-2766-3.
8
Why Are There So Many Mastectomies in the United States?为什么美国有如此多的乳房切除术？
Annu Rev Med. 2017 Jan 14;68:229-241. doi: 10.1146/annurev-med-043015-075227. Epub 2016 Aug 26.
9
Local Recurrence and Breast Oncological Surgery in Young Women With Breast Cancer: The POSH Observational Cohort Study.年轻乳腺癌女性的局部复发与乳腺肿瘤外科手术：POSH观察性队列研究
Ann Surg. 2017 Jul;266(1):165-172. doi: 10.1097/SLA.0000000000001930.
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Quality of life following total mastectomy with and without reconstruction versus breast-conserving surgery for breast cancer: A case-controlled cohort study.乳腺癌全乳切除术后有或无乳房重建与保乳手术的生活质量：一项病例对照队列研究。
J Plast Reconstr Aesthet Surg. 2016 Sep;69(9):1184-91. doi: 10.1016/j.bjps.2016.06.004. Epub 2016 Jun 18.

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.

DOI:10.1159/000485737
PMID:29456470
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5803719/
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。