Freeman Matthew D, Gopman Jared M, Salzberg C Andrew
Division of Plastic Surgery, Icahn School of Medicine, Mount Sinai Hospital, New York, NY, USA.
Gland Surg. 2018 Jun;7(3):308-315. doi: 10.21037/gs.2017.09.07.
Breast surgeries for cancer and tumors were first described approximately 3,000 years ago, and since that time the standard of management has changed dramatically. From Egyptian papyri to Hippocratic theory, from Galen's dissections to Halsted's radical mastectomy, and from sentinel lymph node mapping to the development of nipple-sparing mastectomies, this review starts at the beginning and highlights breakthroughs and innovation in technique and medicine that have fundamentally changed the way breast cancer is managed. The progression depicted in this review acts as a proxy to the management of other complex diseases. Breast cancer was initially managed with operative extirpation alone, but now requires a multidisciplinary team across various surgical, medical, psychological, and social specialties in order to produce the best outcomes for our patients.
大约3000年前首次描述了针对癌症和肿瘤的乳房手术，从那时起，治疗标准发生了巨大变化。从埃及纸莎草文献到希波克拉底理论，从盖伦的解剖学到霍尔斯特德的根治性乳房切除术，再从前哨淋巴结定位到保乳手术的发展，本综述从一开始讲起，重点介绍了技术和医学方面的突破与创新，这些突破与创新从根本上改变了乳腺癌的治疗方式。本综述中所描述的进展可作为其他复杂疾病治疗的一个代表。乳腺癌最初仅通过手术切除进行治疗，但现在需要一个由各个外科、医学、心理和社会专业组成的多学科团队，以便为我们的患者带来最佳治疗效果。
