医学与哲学
醫學與哲學
의학여철학
MEDICINE AND PHILOSOPHY
2014年
18期
8-9,20
,共3页
乳腺癌%转移%外科治疗%综合治疗
乳腺癌%轉移%外科治療%綜閤治療
유선암%전이%외과치료%종합치료
breast cancer%metastasis%surgical treatment%comprehensive treatment
Ⅳ期乳腺癌是难以治愈的疾病,治疗方法是综合治疗,目的是缓解症状、改善生活质量、延长生存期。外科治疗作为综合治疗的一部分,对手术切除Ⅳ期乳腺癌原发灶或转移灶的临床意义和手术时机存在争议,本文结合文献从哲学的角度分析讨论Ⅳ期乳腺癌是否需要外科处理。认为Ⅳ期乳腺癌全身治疗和外科治疗是治疗过程中矛盾主要方面和次要方面的关系,可互相转化,两者作用相辅相成,当全身治疗病情缓解时,个体化选择外科治疗不仅改善生存质量,还可能提高生存率。
Ⅳ期乳腺癌是難以治愈的疾病,治療方法是綜閤治療,目的是緩解癥狀、改善生活質量、延長生存期。外科治療作為綜閤治療的一部分,對手術切除Ⅳ期乳腺癌原髮竈或轉移竈的臨床意義和手術時機存在爭議,本文結閤文獻從哲學的角度分析討論Ⅳ期乳腺癌是否需要外科處理。認為Ⅳ期乳腺癌全身治療和外科治療是治療過程中矛盾主要方麵和次要方麵的關繫,可互相轉化,兩者作用相輔相成,噹全身治療病情緩解時,箇體化選擇外科治療不僅改善生存質量,還可能提高生存率。
Ⅳ기유선암시난이치유적질병,치료방법시종합치료,목적시완해증상、개선생활질량、연장생존기。외과치료작위종합치료적일부분,대수술절제Ⅳ기유선암원발조혹전이조적림상의의화수술시궤존재쟁의,본문결합문헌종철학적각도분석토론Ⅳ기유선암시부수요외과처리。인위Ⅳ기유선암전신치료화외과치료시치료과정중모순주요방면화차요방면적관계,가호상전화,량자작용상보상성,당전신치료병정완해시,개체화선택외과치료불부개선생존질량,환가능제고생존솔。
Stage Ⅳ breast cancer is extremely difficult to be cured .Comprehensive treatment is the main choice of treatment in stage Ⅳ breast cancer which aims to relieve symptoms ,improve quality of life and prolong survival .Although surgical treatment is as a part of comprehensive treatment , the clinical significance and opportunity of surgical treatment in resection of primary tumor or metastases are always in dispute in the academic field . In this paper , we discuss the necessary of surgical intervention for stage Ⅳ breast cancer from the perspective of philosophical analysis .We consider that systemic therapy and surgical treatment for stage Ⅳ breast cancer are the major and minor aspects of a contradiction respectively .They can transform between each other and can be complement for each other .During the disease remission that after systemic therapy ,individualized choice of surgical treatment can not only improve the quality of life ,but also may improve survival rate .