与选择接受对侧预防性乳房切除术与单侧乳房切除术相关的因素。
Factors associated with decision to undergo contralateral prophylactic mastectomy versus unilateral mastectomy.
机构信息
Department of Surgery, Yale University School of Medicine, 20 York Street, 1st Floor, Suite A, New Haven, CT, 06510, USA.
出版信息
Am J Surg. 2019 Jul;218(1):170-174. doi: 10.1016/j.amjsurg.2018.11.040. Epub 2018 Dec 8.
BACKGROUND
Factors associated with the decision to pursue unilateral mastectomy (UM) versus contralateral prophylactic mastectomy (CPM) in unilateral breast cancer (UBC) patients, and satisfaction with this decision, remain to be elucidated.
METHODS
UBC patients who underwent mastectomy were surveyed regarding factors affecting their surgical decision and satisfaction with the same.
RESULTS
Both UM (n = 46) and CPM (n = 55) patients were satisfied with their surgical decision (mean 4.72 and 4.85 out of 5 on Satisfaction With Decision scale, respectively, p = 0.078). Most CPM patients cited the desire to lower their risk of contralateral breast cancer (96.4%) and the desire for peace of mind (94.5%) as "very important" drivers of their decision; whereas most UM patients felt not wanting to remove a normal breast (67.4%) was a "very important" driver for their decision.
CONCLUSIONS
Both UM and CPM patients reported high satisfaction with their surgical decisions, despite differing reasons for their respective surgeries.
背景
在单侧乳腺癌（UBC）患者中，决定行单侧乳房切除术（UM）还是对侧预防性乳房切除术（CPM）的相关因素以及对该决策的满意度仍有待阐明。
方法
对接受乳房切除术的 UBC 患者进行了关于影响其手术决策的因素及其对手术决策的满意度的调查。
结果
UM（n=46）和 CPM（n=55）患者对手术决策均表示满意（满意度评分量表上的平均得分为 4.72 和 4.85，分别，p=0.078）。大多数 CPM 患者表示降低对侧乳腺癌风险（96.4%）和获得安心（94.5%）的愿望是其决定的“非常重要”驱动因素；而大多数 UM 患者认为不想切除正常乳房（67.4%）是其决定的“非常重要”驱动因素。
结论
尽管 UM 和 CPM 患者行不同的手术，但均报告对手术决策的满意度较高。
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