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肿瘤整形手术后的乳房放疗——多学科方法

Breast Radiotherapy after Oncoplastic Surgery-A Multidisciplinary Approach.

作者信息

Metz Gabrielle, Snook Kylie, Sood Samriti, Baron-Hay Sally, Spillane Andrew, Lamoury Gillian, Carroll Susan

机构信息

Northern Sydney Cancer Centre, Royal North Shore Hospital, Sydney, NSW 2065, Australia.

Sydney Medical School, University of Sydney, Sydney, NSW 2006, Australia.

出版信息

Cancers (Basel). 2022 Mar 25;14(7):1685. doi: 10.3390/cancers14071685.

Abstract

Oncoplastic breast surgery encompasses a range of techniques used to provide equitable oncological outcomes compared with standard breast surgery while, simultaneously, prioritizing aesthetic outcomes. While the outcomes of oncoplastic breast surgery are promising, it can add an extra complexity to the treatment paradigm of breast cancer and impact on decision-making surrounding adjuvant therapies, like chemotherapy and radiotherapy. As such, early discussions at the multidisciplinary team meeting with surgeons, medical oncologists, and radiation oncologists present, should be encouraged to facilitate best patient care.

摘要

肿瘤整形乳房手术涵盖了一系列技术,与标准乳房手术相比,这些技术能提供相当的肿瘤学治疗效果,同时还能优先考虑美学效果。虽然肿瘤整形乳房手术的效果很有前景,但它会给乳腺癌的治疗模式增加额外的复杂性,并影响围绕化疗和放疗等辅助治疗的决策。因此,应鼓励在多学科团队会议上,外科医生、医学肿瘤学家和放射肿瘤学家共同参与早期讨论,以促进为患者提供最佳治疗。

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引用本文的文献

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本文引用的文献

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Oncoplastic breast surgery: A guide to good practice.
Eur J Surg Oncol. 2021 Sep;47(9):2272-2285. doi: 10.1016/j.ejso.2021.05.006. Epub 2021 May 11.
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A multidisciplinary view of mastectomy and breast reconstruction: Understanding the challenges.
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Ann Surg Oncol. 2021 Apr;28(4):2120-2127. doi: 10.1245/s10434-020-09534-y. Epub 2021 Jan 31.
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Can we rely on surgical clips placed during oncoplastic breast surgery to accurately delineate the tumor bed for targeted breast radiotherapy?
Breast Cancer Res Treat. 2021 Apr;186(2):343-352. doi: 10.1007/s10549-020-06086-3. Epub 2021 Jan 23.

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