Raina S, Rush B F, Blackwood J M, Lazaro E J
J Surg Oncol. 1985 Feb;28(2):117-22. doi: 10.1002/jso.2930280210.
Responses of general surgeons to a questionnaire on breast cancer were analyzed to determine the current trends in the management of this disease. A 21-item questionnaire was mailed to members of the New Jersey Chapter of the American College of Surgeons in 1982 and the responses, received on noncoded, anonymous answer sheets, were analyzed for frequency distribution. These responses were compared to previously recorded responses to the same questions for 1971 and 1977. Seventy-six percent of the respondents in 1982 performed needle aspirations often or always, compared to 36% in 1971 and 80% in 1977. The use of routine mammography has increased from 16% in 1971 and 20% in 1977 to 38% in 1982. Modified radical mastectomy is now the most common type of procedure employed in the management of stage I breast cancer, with 89% of respondents in favor of this approach compared to 15% in 1971 and 60% in 1977. Fifty-nine percent of the respondents are not opposed to breast reconstruction following mastectomy versus 14% in 1971 and 49% in 1977. For patients with axillary nodes, chemotherapy with multiple agents was recommended by 76% of general surgeons in 1982, compared to 58% in 1977. These results indicate a continuing trend towards increasing use of needle aspiration and routine mammography for diagnosis and for employment of chemotherapy with multiple agents in the adjuvant treatment of patients with positive axillary nodes. Furthermore, modified radical mastectomy is the operation of choice for stage I cancer of the breast for increasing numbers of surgeons.
对普通外科医生关于乳腺癌的问卷调查结果进行了分析，以确定该疾病当前的治疗趋势。1982年，一份包含21个问题的问卷被邮寄给了美国外科医师学会新泽西分会的成员，收到的答卷未编码且匿名，对其进行了频率分布分析。这些回答与1971年和1977年对相同问题的先前记录回答进行了比较。1982年，76%的受访者经常或总是进行针吸活检，而1971年为36%，1977年为80%。常规乳房X线摄影的使用从1971年的16%和1977年的20%增加到了1982年的38%。改良根治性乳房切除术现在是I期乳腺癌治疗中最常用的手术方式，89%的受访者支持这种方法，而1971年为15%，1977年为60%。59%的受访者不反对乳房切除术后进行乳房重建，而1971年为14%，1977年为49%。对于有腋窝淋巴结的患者，1982年76%的普通外科医生推荐使用多种药物进行化疗，而1977年为58%。这些结果表明，在诊断中越来越多地使用针吸活检和常规乳房X线摄影，以及在腋窝淋巴结阳性患者的辅助治疗中使用多种药物进行化疗的趋势仍在持续。此外，对于越来越多的外科医生来说，改良根治性乳房切除术是I期乳腺癌的首选手术方式。
