现代医学模式影响下的乳腺癌手术方式递嬗

Developments in the Surgical Management of Breast Cancer are Affected by Modern Medical Model

目前乳腺癌的标准治疗是以手术为主的综合治疗。在保证肿瘤学安全性的前提下,保留乳房的乳腺癌切除术不断突破原有的桎梏,在最初的标准保乳手术基础上发展出肿瘤整形保乳手术;保乳性乳房全切手术则进一步拓展了原有保乳术的外延。即便不具备保乳手术条件或对保乳手术存有顾虑而需行乳房全切术的患者,乳房重建手术为其点燃了新的希望。现代医学模式的形成完善了医学科学主义和人文主义的有机结合,按照这种思维方式,医疗目的要与患者需求相契合,治疗疾病要与生命质量相结合。乳腺癌手术方式的递嬗正是体现了现代医学模式影响下患者对生活品质的追求和医者为满足病患治疗疾病和追求生命质量双重需求谋福祉的良苦用心。

Surgery is the mainstay of breast cancer treatment. Additionally, the standard management of breast cancer now can include adjuvant systemic therapy and radiotherpy. On the basis of oncological safety, the original shackles of breastconserving surgery are unceasingly broken. And oncoplastic breast-conserving surgery has become the complementary form of original breast-conserving surgery. Conservative mastectomy is the extension of the concept of breast-conserving surgery. Breast reconstructive surgery breeds new hope, even if for those patients who have contraindication for breast- conserving surgery or have fears about breast-conserving surgery. The formation of modern medical model promotes the combination of medical scientism and humanism. According to this idea, the purpose of medical treatment must be associated with the needs of patients. And the treatment of diseases should be combined with improvements of the quality of life. Developments in surgical treatment of breast cancer are affected by modern medical model, under which patients begin to pay attention to the quality of life and doctors begin to satisfy the medical therapy and life quality for patients.