早期乳腺癌保乳术后未行放疗原因调查与分析  

Investigation and analysis of the reasons for omission of adjuvant radiotherapy after breast-conserving surgery for early-stage breast cancer

作　　者：崔晓颖 盛李明[2] 季永领[2] 陈影[2] 程蕾[2] 裘国勤[2] 周霞[2] 包婺安[2] 杨洋[2] 杨红健[3] 杜向慧[2] Cui Xiaoying;Sheng Liming;Ji Yongling;Chen Ying;Cheng Lei;Qiu Guoqin;Zhou Xia;Bao Wuan;Yang Yang;Yang Hongjian;Du Xianghui(The Second Clinical Medical College,Zhejiang Chinese Medical University,Hangzhou 310053,China;Department of Radiation Oncology,Zhejiang Cancer Hospital,Hangzhou 310022,China;Department of Breast Cancer Surgery,Zhejiang Cancer Hospital,Hangzhou 310022,China)

机构地区：[1]浙江中医药大学第二临床医学院,杭州310053 [2]浙江省肿瘤医院胸部放疗科,杭州310022 [3]浙江省肿瘤医院乳腺肿瘤外科,杭州310022

出　　处：《中华放射肿瘤学杂志》2019年第6期421-424,共4页Chinese Journal of Radiation Oncology

摘　　要：目的调查和分析乳腺癌保乳手术患者未进行术后放疗的原因。方法对2012-2016年在本院保乳手术而未行术后辅助放疗的55例患者未接受放疗的临床病理特征和社会经济原因分析。结果55例未放疗患者中25例因低的局部复发风险,12例因经济或家庭原因,12例恐惧放疗不良反应,5例基层医师未建议放疗。另外有多发远处转移3例,并发甲状腺癌3例未行放疗。结论低的局部复发风险是未作术后放疗的主要原因,其次是患者担心放疗不良反应和经济原因。通过患者教育和医保可能提高术后放疗的依从性。Objective To investigate and analyze the reasons for the omission of adjuvant radiotherapy after breast-conserving surgery (BCS) in patients with breast cancer.Methods The clinicopathologial characteristics and socioeconomic data of 55 breast cancer patients undergoing BCS without postoperative adjuvant radiotherapy in our hospital from 2012 to 2016 were retrospectively analyzed.Results Among the 55 patients who did not receive radiotherapy,25 patients were due to low local recurrence risk,12 patients were due to economic or family reasons,12 patients were due to fear of adverse reactions of radiotherapy,and 5 patients were not recommended by primary physicians for radiotherapy.In addition,3 cases with multiple distant metastases and 3 cases with concomitant thyroid cancer didn't received radiotherapy.Conclusions Low risk local recurrence is the main reason for the omission of adjuvant radiotherapy,followed by the fear of radiation-induced toxicity and poor financial support.Patient education and medical insurance may improve the adjuvant radiotherapy compliance.

关 键 词：乳腺肿瘤/外科学 保乳手术 乳腺肿瘤/放射疗法 原因分析 

分 类 号：R737.9[医药卫生—肿瘤]