Department of Surgery, Brody School of Medicine, East Carolina University, Greenville, NC, USA.
Breast Surgical Oncology, Presbyterian Healthcare Services - MD Anderson Cancer Network, Albuquerque, NM, USA.
Ann Surg Oncol. 2019 Oct;26(10):3032-3039. doi: 10.1245/s10434-019-07596-1. Epub 2019 Jul 24.
Supporting breastfeeding is a global health priority, yet few clinical guidelines exist to guide surgical oncologists in managing lactation during or after breast cancer treatment.
The literature was reviewed to identify evidence-based strategies for managing lactation during multidisciplinary breast cancer treatment or among breast cancer survivors.
The majority of the evidence is from observational studies, with some higher levels of evidence, including systematic reviews and meta-analyses. Several significant gaps in knowledge remain.
This review serves as a comprehensive resource of evidence-based recommendations for managing lactation in breast cancer survivors and breastfeeding women with a new breast cancer diagnosis.
支持母乳喂养是全球卫生重点，但指导外科肿瘤医生在乳腺癌治疗期间或之后管理泌乳的临床指南很少。
对文献进行了回顾，以确定在多学科乳腺癌治疗期间或乳腺癌幸存者中管理泌乳的基于证据的策略。
大多数证据来自观察性研究，其中一些具有更高水平的证据，包括系统评价和荟萃分析。知识仍存在一些重大差距。
本综述为管理乳腺癌幸存者泌乳和新诊断乳腺癌的母乳喂养妇女提供了基于证据的综合推荐资源。
