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山东大学学报 (医学版) ›› 2022, Vol. 60 ›› Issue (12): 1-6.doi: 10.6040/j.issn.1671-7554.0.2022.1143

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女性乳腺癌保乳手术决策相关因素

周亚杰,王斐,于理想,余之刚*()   

  1. 山东大学第二医院乳腺外科, 山东 济南 250033
  • 收稿日期:2022-10-10 出版日期:2022-12-10 发布日期:2022-12-01
  • 通讯作者: 余之刚 E-mail:yzg@medmail.com.cn
  • 作者简介:余之刚，医学博士、二级教授、主任医师、博士研究生导师、“泰山学者”特聘专家。现任山东大学第二医院副院长、山东大学乳腺疾病防治转化医学研究所所长、山东省乳腺疾病防治转化工程实验室主任，中华医学会外科学分会乳腺外科学组委员兼秘书、山东省医学会乳腺疾病多学科联合委员会主任委员、山东省抗癌协会乳腺肿瘤分会主任委员，《中华医学杂志》《中华乳腺病杂志(电子版)》《Translational Breast Cancer Research》编委。荣获“全国卫生计生系统先进工作者” “国之名医·优秀风范” “山东省优秀科技工作者”和“济南市专业技术拔尖人才”等荣誉称号。主持国家重点研发计划项目、国家自然科学基金面上项目、公益性行业专项、国家临床重点专科项目、原卫生部部属(管)医院临床学科重点项目、山东省重点研发计划项目等。长期致力于乳腺疾病的预防、临床与基础研究，率先在国内组建了一支涵盖乳腺外科、流行病学、分子生物学、影像学、病理学、肿瘤学、应用数学以及计算机通信等跨学科、跨省的研究团队，已经在国内外期刊上发表了150余篇论文，累计IF 150余分。目前已获得山东省科技进步奖二等奖3项、山东高等学校优秀科研成果奖自然科学类一等奖1项、山东医学科技奖三等奖1项等
  • 基金资助:
    山东省医学会科研基金(YXH2020ZX064)

Factors related to decision-making of breast-conserving surgery for female breast cancer

Yajie ZHOU,Fei WANG,Lixiang YU,Zhigang YU*()   

  1. Department of Breast Surgery, The Second Hospital of Shandong University, Jinan 250033, Shandong, China
  • Received:2022-10-10 Online:2022-12-10 Published:2022-12-01
  • Contact: Zhigang YU E-mail:yzg@medmail.com.cn

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摘要：

保乳手术已成为女性早期乳腺癌的标准手术方式，但目前我国保乳率整体水平仍然较低，特别是大量具备保乳手术指征的患者最终未接受保乳手术。影响保乳手术治疗决策的因素是复杂的，包括年龄、家庭收入、受教育水平等社会经济因素；此外，医生的建议、放疗相关的医疗服务、对癌症复发的担忧也对患者术式选择产生影响。本文对影响具备保乳手术指征的乳腺癌患者进行手术决策的相关因素进行综述，以期为提高我国女性乳腺癌保乳率提供参考。

关键词: 乳腺癌, 保乳手术, 乳房切除手术, 决策, 相关因素

Abstract:

Breast-conserving surgery has become the standard operation for women with early breast cancer. However, the overall rate of the surgery is still low in China, and many patients with indications failed to receive breast-conserving surgery. Factors affecting the decision to receive surgery are complex, involving social and economic factors such as age, family income and education level. In addition, recommendations of doctors, medical services related to radiation therapy, concern of recurrence also have impacts. This article will review related factors influencing the decision-making of breast cancer patients with breast-conserving surgery indications, so as to provide reference for improving the rate of surgery.

Key words: Breast cancer, Breast-conserving surgery, Mammectomy, Decision-making, Related factors

中图分类号: 

  • R655.8
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