双边乳腺癌:临床概况和管理
Ashutosh Mishra1, Ajit Singh Oberoi1, Suryanarayana Deo1
1Department of Surgical Oncology, BRA-IRCH, AIIMS, New Delhi, India.
Indian journal of surgical oncology
|October 30, 2023
概括
双边乳腺癌 (BBC) 的管理是复杂的,多模式治疗产生了良好的结果. 这项对127名患者的研究发现,整体5年生存率为86.6%,突显了对个性化护理的需求.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 乳腺癌研究研究 乳腺癌研究
背景情况:
- 关于双边乳腺癌 (BBC) 的人口统计,组织病理学,管理和结果的文献有限.
- 了解BBC是非常重要的,因为随着生存和诊断的改善,发病率越来越高.
研究的目的:
- 分析双边乳腺癌患者的人口统计,临床概况,分子亚型,治疗模式和结果.
- 通过使用多模式方法来管理127个BBC案件的机构经验.
主要方法:
- 对前性维护的计算机化乳腺癌数据库 (1992-2019) 的回顾性审计.
- 对127名同步 (SBBC) 和超时 (MBBC) 双边乳腺癌患者的分析.
- 评估治疗策略,包括手术,放射治疗和辅助疗法.
主要成果:
- 在127名患者中,94人患有MBBC,33人患有SBBC.
- 与索引癌相比,逆侧乳腺癌 (CBC) 通常是早期的.
- 五年总生存率 (OS) 为86.6%,五年无病生存率 (DFS) 为68.4%,SBBC和MBBC之间没有显著差异.
结论:
- 双边乳腺癌的多模式管理可以实现有利的生存结果.
- 在多学科环境中进行个性化治疗规划对BBC患者至关重要.
- 预计BBC的发病率将上升,需要进一步的研究和优化护理策略.
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