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保乳治疗与根治性乳房切除术相比的心理影响。

Psychological effects of breast conserving therapy in comparison with radical mastectomy.

作者信息

Bartelink H, van Dam F, van Dongen J

出版信息

Int J Radiat Oncol Biol Phys. 1985 Feb;11(2):381-5. doi: 10.1016/0360-3016(85)90161-0.

DOI:10.1016/0360-3016(85)90161-0
PMID:3972654
Abstract

Psychosocial sequelae of breast conserving therapy (BCT) and radical mastectomy (RM) have been compared. Also, in the BCT group, the cosmetic results were judged by the patients themselves and two plastic surgeons. Body image in the BCT group (n = 114) was significantly more positive than in the RM group (n = 58). Patients treated with BCT had even less fear of recurrence of the cancer and would, if necessary, choose the same treatment again. Cosmetic results were good to excellent in 75% of the cases as judged by the two plastic surgeons. Most of the patients with a bad grading by the surgeons were happy with the results.

摘要

对保乳治疗(BCT)和根治性乳房切除术(RM)的心理社会后遗症进行了比较。此外,在BCT组中,由患者本人和两位整形外科医生对美容效果进行了评判。BCT组(n = 114)的身体形象明显比RM组(n = 58)更积极。接受BCT治疗的患者对癌症复发的恐惧甚至更小,并且如有必要,会再次选择相同的治疗方法。两位整形外科医生判断,75%的病例美容效果良好至极佳。外科医生评定为差等级的大多数患者对结果感到满意。

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