东加勒比海国家某三级医院乳腺门诊对乳房切除术和腋窝清除率的影响:一项比较研究。

IF 1.6 Q4 ONCOLOGY International Journal of Breast Cancer Pub Date : 2019-03-07 eCollection Date: 2019-01-01 DOI:10.1155/2019/8018242
Shariful Islam, Imran Aziz, Jitendra Shah, Jacob Oba, Patrick Harnarayan, Arlene Jammie Rampersad, Vijay Naraynsingh
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引用次数: 3

摘要

背景:乳腺癌是特立尼达和多巴哥妇女的主要癌症形式。传统的做法是乳房切除术或广泛的局部切除与或不腋窝清除适用于大多数这些患者。这通常与显著的发病率和不良的美容结果相关,两者都对患者的生活质量产生负面影响。本研究的目的是评估2012年9月引入乳腺专科诊所前后的乳房切除术和腋窝清除率。设计与方法:本研究是对2010年1月至2015年12月在我院三级医院开展乳腺门诊前3年和开业后3年所有接受乳腺癌手术的女性患者进行回顾性比较研究。从我院的手术日志中识别患者。我们医院有5个外科单位,其中一个单位的主治医生对外科乳房肿瘤整形手术特别感兴趣。该部门于2012年8月成立了这家乳腺诊所。结果:2010年1月至2015年12月,经组织学证实的乳腺癌患者532例,其中乳腺门诊前256例,乳腺门诊后276例。引入临床后,总乳房切除术率由62%降至51%(0.7 ~ 0.4),腋窝清除率由66.79%降至37.31% (0.6 ~ 0.4),p值分别为0.007和0.009。结论:乳腺门诊的引入显著降低了我院的乳房切除术和腋窝清除率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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The Impact of Breast Clinic on the Mastectomy and Axillary Clearance Rates at a Tertiary Hospital in an Eastern Caribbean Nation: A Comparative Study.

Background: Breast cancer is the leading form of cancer in women in Trinidad and Tobago. Traditionally the practice of mastectomy or wide local excision with or without axillary clearance was applied to most of these patients. This is often associated with significant morbidity and a poor cosmetic outcome with both negatively impacting the patients quality of life. The aim of our study was to assess the mastectomy and axillary clearance rate before and after the introduction of a specialty breast clinic in September 2012.

Design and methods: This is a retrospective comparative study of all female patients who underwent breast cancer surgery at our tertiary hospital 3 years prior to and 3 years after starting of breast clinic (between January 2010 and December 2015). Patients were identified from the surgical log books of our hospital. There are 5 surgical units at our hospital and in one of those units the lead surgeon had a special interest in surgical oncoplastic breast surgery. That unit formed the breast clinic in August 2012.

Results: There were 532 women (256 before breast clinic and 276 after breast clinic era) with histologically verified breast cancer operated on between January 2010 and December 2015. The overall mastectomy rate was reduced from 62% to 51% (0.7 to 0.4) and the axillary clearance rate from 66.79% versus 37.31% (0.6 to 0.4) after the introduction of the clinic with p values of 0.007 and 0.009, respectively.

Conclusions: The introduction of breast clinic has significantly reduced the mastectomy and axillary clearance rate at our teaching hospital.

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来源期刊
CiteScore
3.40
自引率
0.00%
发文量
25
审稿时长
19 weeks
期刊介绍: International Journal of Breast Cancer is a peer-reviewed, Open Access journal that provides a forum for scientists, clinicians, and health care professionals working in breast cancer research and management. The journal publishes original research articles, review articles, and clinical studies related to molecular pathology, genomics, genetic predisposition, screening and diagnosis, disease markers, drug sensitivity and resistance, as well as novel therapies, with a specific focus on molecular targeted agents and immune therapies.
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