中国实用外科杂志

• 述评 • 上一篇    下一篇

我国乳腺癌术后乳房重建相关问题思考

余之刚,王    斐,叶春淼   

  1. 山东大学第二医院乳腺外科,山东济南 250033
  • 出版日期:2019-11-01 发布日期:2019-11-12

  • Online:2019-11-01 Published:2019-11-12

摘要:

乳腺癌术后乳房重建已成为乳腺癌综合治疗的重要组成部分。建立规范化、专业化的乳腺癌术后乳房重建模式与秩序,需要医生、病人及社会三方的共同努力与协作。理想的乳房重建手术必须同时满足肿瘤安全性与整形美学的双重标准,并且不应违背乳腺癌综合治疗的理念。乳腺外科医师应严格遵循专家共识推荐及个体化治疗原则,客观认识并谨慎开展乳房重建手术,加强与整形外科等多学科协作,以达到肿瘤治疗安全与乳房外观美学的最佳平衡。

关键词: 乳腺癌, 乳房重建, 乳腺外科, 肿瘤整形, 多学科合作

Abstract:

Thoughts on breast reconstruction after breast cancer surgery in China        YU Zhi-gang,WANG Fei,YE Chun-miao. Department of Breast Surgery, the Second Hospital of Shandong University, Jinan 250033,China
Corresponding author: YU Zhi-gang, E-mail:yzg@medmail.com.cn
Abstract    Oncoplastic breast reconstruction has become an important component of comprehensive therapy for breast cancer. Strong collaborations of physicians, patients and society are warranted to build a normalized and professional mode and pathway for oncoplastic breast reconstruction in China. Both oncological safety and cosmetic well-being are key requirements for the design, procedure and assessment of oncoplastic breast reconstruction. The principles of comprehensive therapy and oncological considerations should not be compromised and should always take precedence. Breast surgeons should recommend and perform the oncoplastic breast reconstructions with objective understanding and cautious assessment, and strictly follow the recommendations of professional consensus as well as the principles of personalized treatment. Closely multidisciplinary collaborations with plastic surgeons are recommended to achieve a balanced oncoplastic safety and cosmetic well-being.

Key words: breast cancer, breast reconstruction, breast surgery, oncoplastic surgery, multidisciplinary team