Department of Surgery, NorthShore University HealthSystem, Evanston, IL, USA.
Department of Surgery, Pritzker School of Medicine at University of Chicago, Chicago, IL, USA.
Ann Surg Oncol. 2022 Oct;29(10):6115-6131. doi: 10.1245/s10434-022-12135-6. Epub 2022 Jul 25.
Little is known about the experience of the male breast cancer patient. Mastectomy is often offered despite evidence that breast-conserving surgery (BCS) provides similar outcomes.
Two concurrent online surveys were distributed from August to October 2020 via social media to male breast cancer (MBC) patients and by email to American Society of Breast Surgeon members. The MBC patients were asked their opinions about their surgery, and the surgeons were asked to provide surgical recommendations for MBC patients.
The survey involved 63 MBC patients with a mean age of 62 years (range, 31-79 years). Five MBC patients (7.9 %) stated that their surgeon recommended BCS, but 54 (85.7 %) of the patients underwent unilateral, and 8 (12.7 %) underwent bilateral mastectomy. Most of the patients (n = 60, 96.8 %) had no reconstruction. One third of the patients (n = 21, 33.3 %) felt somewhat or very uncomfortable with their appearance after surgery. The response rate was 16.5 % for the surgeons. Of the 438 surgeons who answered the survey, 298 (73.3 %) were female, 215 (51.7 %) were fellowship-trained, and 244 (58.9 %) had been practicing for 16 years or longer. More than half of surgeons (n = 259, 59.1 %) routinely offered BCS to eligible men, and 180 (41.3 %) stated they had performed BCS on a man with breast cancer. Whereas 89 (20.8 %) of the surgeons stated that they routinely offer reconstruction to MBC patients, 87 (20.3 %) said they do not offer reconstruction, 96 (22.4 %) said they offer it only if the patient requests it, and 157 (36.6 %) said they never consider it as an option.
The study found discordance between MBC patients' satisfaction with their surgery and surgeon recommendations and experience. These data present an opportunity to optimize the MBC patient experience.
男性乳腺癌患者的体验鲜为人知。尽管有证据表明保乳手术（BCS）提供了相似的结果，但仍常建议进行乳房切除术。
2020 年 8 月至 10 月，通过社交媒体向男性乳腺癌（MBC）患者和美国乳腺外科医生协会成员的电子邮件同时分发了两份在线调查。MBC 患者被问及他们对手术的看法，外科医生被要求为 MBC 患者提供手术建议。
该调查涉及 63 名平均年龄为 62 岁（范围，31-79 岁）的 MBC 患者。有 5 名 MBC 患者（7.9%）表示他们的外科医生建议进行 BCS，但 54 名（85.7%）患者接受了单侧乳房切除术，8 名（12.7%）患者接受了双侧乳房切除术。大多数患者（n=60，96.8%）没有进行重建。有三分之一的患者（n=21，33.3%）对手术后的外观感到有些或非常不舒服。外科医生的回复率为 16.5%。在回答调查的 438 名外科医生中，298 名（73.3%）为女性，215 名（51.7%）接受过专科培训，244 名（58.9%）从业时间在 16 年或以上。超过一半的外科医生（n=259，59.1%）通常向符合条件的男性提供 BCS，180 名（41.3%）表示他们曾为患有乳腺癌的男性进行过 BCS。虽然 89 名（20.8%）外科医生表示他们通常向 MBC 患者提供重建，但 87 名（20.3%）表示他们不提供重建，96 名（22.4%）表示他们仅在患者要求时提供，而 157 名（36.6%）表示他们从未将其视为一种选择。
研究发现，MBC 患者对手术的满意度与其外科医生的建议和经验之间存在差异。这些数据为优化 MBC 患者体验提供了机会。
