[更新的立即乳房重建的指示和技术,特别是在辅助放射治疗的情况下]
Laura Vincent1, Clémentine Laville1, Sarah Jacinto2
1Département de chirurgie oncologique, centre Georges-François-Leclerc, 1, rue du Professeur-Marion, 21000 Dijon, France.
乳房重建 (BR) 率在法国仍然很低,只有28%的乳房切除患者在3年内进行了重建. 即时乳房重建 (IBR) 越来越可行,即使使用辅助疗法,强调患者的选择.
科学领域:
- 在瘤学瘤学.
- 整形和重建手术 整形和重建手术
背景情况:
- 法国乳腺癌诊断和乳房切除率突显出重建选择的重大需要.
- 目前的乳房重建 (BR) 率仍然低于最佳水平,只有28%的患者在乳房切除术后三年内接受重建.
- 即时乳房重建 (IBR) 率特别低,为所有重建中的14%.
研究的目的:
- 审查法国乳房重建的现状.
- 讨论立即乳房重建 (IBR) 的不断变化的指示和禁忌.
- 强调共享决策和多学科团队 (MDT) 参与乳房重建选择的重要性.
主要方法:
- 审查目前的临床实践和乳房重建指南.
- 分析法国乳房切除和乳房重建率的趋势.
- 对辅助疗法 (化疗,放射治疗) 的禁忌和考虑的讨论.
主要成果:
- 法国整体乳房重建率在乳房切除术后三年内为28%.
- 立即乳房重建 (IBR) 占所有重建的14%.
- 乳房重建的禁忌已经减少,允许IBR即使有辅助治疗指示,只要不推迟瘤管理.
结论:
- 乳房重建应该是乳腺癌管理的组成部分.
- 多学科团队 (MDT) 讨论和以患者为中心的共享决策对于优化乳房重建结果至关重要.
- 患者对风险,益处和可用的技术,包括假肢和自身选择的教育是必不可少的,特别是当放射治疗被指示时.
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