乳腺癌术后乳房重建手术与放疗间关系——基于中国110家医院横断面调查研究

doi:10.3760/cma.j.issn.1004-4221.2019.11.002

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Abstract

Objective To investigate the current status of breast reconstruction surgery in China and analyze the specific views of Chinese doctors on the relationship between radiotherapy and breast reconstruction surgery. Methods A total of 110 medical institutions nationwide with more than 200 cases of breast cancer surgery yearly were selected into this questionnaire survey. The questionnaire survey included basic information of the surgeons and their hospitals, information of breast cancer surgeries in 2017,types of reconstruction surgery and specific views on the relationship between radiotherapy and reconstruction surgery. Results In total, 110 hospitals participated in the survey, 96(87.3%) had undergone breast reconstruction surgery. Reconstruction with implants accounted for 65.7% of the total reconstruction surgery and the proportion of autologous reconstruction was 20.1%. For patients who probably required postoperative radiotherapy, the preferred surgical procedure in the surveyed hospitals was implant based reconstruction surgery. For those who were confirmed to receive postoperative radiotherapy or had undergone radiotherapy after total mastectomy, autologous tissue reconstruction was recommended. Postoperative radiotherapy was a negative factor for immediate breast reconstruction, and most hospitals believed that radiotherapy exerted slight effect on surgery. Theproportion of delay-immediate breast reconstruction reached 66% and 86% of hospitals preferred to replace with the prosthesis at 6 months after radiotherapy. Patients with local recurrence after breast-conserving surgery could also receive immediate reconstruction and implant reconstruction was the preferred surgical procedure. Conclusions The proportion of breast reconstruction in China is relatively low and Chinese doctors still lack of technical mastery. In the face of conflict with radiotherapy, the regime selected by Chinese doctors is not in accordance with those recommended by the guideline and consensus, prompting that more professional training should be delivered for Chinese doctors to further promote the development of breast reconstruction in China.

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	Articles by authors
	Zhang Qi
	Li Lun
	Xiu Bingqiu
	Guo Rong
	Yang Benlong
	Wang Jia
	Su Yonghui
	Chi Weiru
	Zhang Yingying
	Cao Ayong
	Shao Zhimin
	Wu Jiong

Key words： Breast neoplasm/surgery Breast reconstruction Breast neoplasm/radiotherapy Questionnaire

Received: 15 February 2019

Fund:

National Key Research &| Development Project (2017YFC1311004);Shanghai Science and Technology Commission Outstanding Academic Leaders Program Project (18XD1401300)

Corresponding Authors: Wu Jiong,Email:wujiong1122@vip.sina.com

Cite this article:

Zhang Qi,Li Lun,Xiu Bingqiu et al. Relationship between breast reconstruction surgery and radiotherapy after mastectomy-a cross-sectional survey based on 110 hospitals in China[J]. Chinese Journal of Radiation Oncology, 2019, 28(11): 806-810.

URL:

http://journal12.magtechjournal.com/Jweb_fszlx/EN/10.3760/cma.j.issn.1004-4221.2019.11.002 OR http://journal12.magtechjournal.com/Jweb_fszlx/EN/Y2019/V28/I11/806

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