对瘤塑性乳腺保护手术的临床视角
Eva Heeling1, Annemiek K E van Hemert1, Marie-Jeanne T F D Vrancken Peeters1,2
1Department of Surgical Oncology, Netherlands Cancer Institute-Antoni van Leeuwenhoek, Amsterdam, The Netherlands.
概括
瘤塑性乳腺保护手术 (OPBCS) 能够为一些患有大瘤或广泛疾病的患者提供乳腺保护,将癌症切除与整形手术技术相结合. 仔细的患者选择和多学科讨论对于最佳结果至关重要.
科学领域:
- 在瘤学瘤学.
- 整形外科 整形外科 整形外科
- 乳腺癌治疗方法 乳腺癌治疗方法
背景情况:
- 乳腺保护手术 (BCS) 加辐射是乳腺癌的标准.
- 瘤塑性乳腺保护手术 (OPBCS) 扩大了对特定患者的BCS资格.
- OPBCS解决了不良的瘤与乳腺的比率,允许乳腺保护而不是乳腺切除术.
研究的目的:
- 为瘤塑性乳腺保护手术 (OPBCS) 提供临床视角.
- 突出OPBCS在精选乳腺癌患者中的作用.
- 讨论OPBCS的患者选择和时间.
主要方法:
- 对瘤塑性乳房保护手术 (OPBCS) 技术的审查.
- 在OPBCS.中讨论瘤安全和美学结果.
- 考虑患者选择标准和多学科团队 (MDT) 的参与.
主要成果:
- OPBCS将瘤瘤切除与整形手术技术相结合.
- 通过保持乳房形状来保持美学结果.
- 精心选择患者是必不可少的,特别是那些风险较高的积极边际患者.
结论:
- OPBCS为精心挑选的患者提供乳房保护.
- 多学科团队 (MDT) 讨论对于患者的选择和时机至关重要.
- 推迟OPBCS可能会被推用于更高风险的病例,以确保瘤安全和乳腺保存率.
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