Ventruba Tomáš, Ješeta Michal, Minář Luboš, Vomela Jindřich, Brančíková Dagmar, Žáková Jana, Ventruba Pavel
Department of Obstetrics and Gynecology, University Hospital Brno and Masaryk University, 625 00 Brno, Czech Republic.
V-CLINIC, Clinic of Plastic, Aesthetic Surgery and Gynecology, 603 00 Brno, Czech Republic.
Healthcare (Basel). 2023 Jun 15;11(12):1755. doi: 10.3390/healthcare11121755.
(1) Objective: Breast cancer is the most common cancer in women, and the incidence of the disease continues to increase. The issue of immediate breast reconstruction (IBR) in women with BRCA mutations and breast cancer is highly topical. This study is based on the long-term experience of our workplace with the diagnosis and treatment of breast cancer in women. We use the possibilities of oncoplastic surgery, including IBR. Our effort involves learning about women's awareness of IBR with a mastectomy at the same time. (2) Methods: The method of quantitative research of women's awareness using a structured anonymous questionnaire was chosen. Out of the total number of 84 respondents who already underwent IBR, 36.9% were due to BRCA mutations, and 63.1% were due to breast cancer. (3) Results: All of the respondents learned about the possibility of IBR before treatment or during treatment planning. The information was first obtained mainly from an oncologist. Women obtained the most information regarding IBR from a plastic surgeon. Before the mastectomy, all of the respondents already knew what IBR meant, as well as about the payment of IBR by the health insurance company. All of the respondents would choose the IBR option again. A total of 94.0% of women cited preservation of body integrity as a reason for undergoing IBR, and 88.1% of women knew about the possibility of performing IBR with their own tissues. (4) Conclusions: There are few specialized centers with a team of experts in reconstructive breast surgery in the Czech Republic, especially those that perform IBR. Research has shown that all of the patients were well informed about IBR, but the vast majority only learned about IBR before the surgical procedure was planned. All of the women wished to maintain body integrity. Our study results in the recommendations for patients and for healthcare management.
(1) 目的：乳腺癌是女性最常见的癌症，且该疾病的发病率持续上升。携带BRCA突变的乳腺癌女性患者的即刻乳房重建（IBR）问题备受关注。本研究基于我们工作场所对女性乳腺癌诊断和治疗的长期经验。我们利用肿瘤整形手术的可能性，包括IBR。我们致力于了解女性在接受乳房切除术时对IBR的认知情况。(2) 方法：选择使用结构化匿名问卷对女性认知进行定量研究的方法。在84名已接受IBR的受访者中，36.9%是由于BRCA突变，63.1%是由于乳腺癌。(3) 结果：所有受访者在治疗前或治疗计划期间了解到IBR的可能性。信息最初主要来自肿瘤学家。女性从整形外科医生那里获得了关于IBR的最多信息。在乳房切除术之前，所有受访者都已经知道IBR是什么意思，以及健康保险公司对IBR的支付情况。所有受访者都会再次选择IBR选项。共有94.0%的女性将保持身体完整性作为接受IBR的一个原因，88.1%的女性知道用自身组织进行IBR的可能性。(4) 结论：在捷克共和国，拥有乳房重建手术专家团队的专业中心很少，尤其是那些进行IBR的中心。研究表明，所有患者都充分了解IBR，但绝大多数人只是在手术计划之前才了解到IBR。所有女性都希望保持身体完整性。我们的研究结果为患者和医疗管理提供了建议。
