肿瘤亚学科及多学科医学联络会诊在乳腺癌伴随疾病全方位管理中的应用

A multi-disciplinary treatment strategy involving oncology subdisciplines and consultation-liaison multi-disciplinary for the comprehensive management of concomitant diseases of breast cancer

乳腺癌作为恶性肿瘤中代表性的慢性疾病,更多的患者需要“全方位、全周期”的慢病管理。随着《“健康中国2030”规划纲要》和《乳腺癌随访及伴随疾病全方位管理指南》的颁布,乳腺癌伴随疾病(concomitant disease of breast cancer,CDBC)越来越受到重视。加强多学科协作,联合肿瘤科及相关专科医师,建立并发展肿瘤心理学、肿瘤心脏病学等肿瘤亚学科,可专业地认识和管理CDBC。效仿会诊联络精神医学在肿瘤患者治疗方面的成功经验,建立和完善康复医学、心血管病医学、内分泌医学、妇科医学等多学科医学联络会诊(consultation liaison multi-disciplinary medicine,CLM),加强对CDBC的防治,以进一步提高患者生存质量并改善预后。本文将就肿瘤亚学科及CLM在CDBC全方位管理中的应用进行综述。

Breast cancer is considered as a chronic disease,hence breast cancer these patients require extensive and effective chronic disease management.With the development of the"Healthy China 2030"program and the"Comprehensive Management Guideline for Breast Cancer Follow-up and Concomitant Diseases,"more attention is being paid to the management of concomitant diseases of breast cancer(CDBC).This involves improving multidisciplinary treatment by collaborating with oncologists and related specialists to develop psycho-oncology,oncocardiology,and other oncology subdisciplines.Consultation-liaison psychiatry has been successfully used in the treatment of patients with cancer.Therefore,for the prevention and treatment of CDBC,it is important to establish and improve rehabilitation medicine and other units,such as cardiovascular,endocrinology,and gynecology units.This,in turn,could help improve the patient's quality of life and prognosis.