医学与哲学
醫學與哲學
의학여철학
MEDICINE AND PHILOSOPHY
2014年
16期
19-20,42
,共3页
转移性乳腺癌%原发灶切除%手术
轉移性乳腺癌%原髮竈切除%手術
전이성유선암%원발조절제%수술
metastatic breast cancer%resection for primary lesion%surgery
无论是国内还是世界其他国家，乳腺癌近年来已成为女性常患恶性肿瘤之首。早期乳腺癌通过手术、化疗、放疗及内分泌治疗等综合治疗后可以达到长期生存。然而对于晚期乳腺癌，特别是伴有远处转移的乳腺癌，疗效却不尽如人意。对于转移性乳腺癌，目前治疗优先选择毒性尽可能小的全身系统性治疗方案；而对于需要缓解症状或避免即将发生并发症（如皮肤溃疡、出血、真菌感染以及疼痛等）的情况可于全身治疗后行相应手术。然而对于转移性乳腺癌是否手术切除原发灶以及是否可从手术中获益，仍然充满争议。
無論是國內還是世界其他國傢，乳腺癌近年來已成為女性常患噁性腫瘤之首。早期乳腺癌通過手術、化療、放療及內分泌治療等綜閤治療後可以達到長期生存。然而對于晚期乳腺癌，特彆是伴有遠處轉移的乳腺癌，療效卻不儘如人意。對于轉移性乳腺癌，目前治療優先選擇毒性儘可能小的全身繫統性治療方案；而對于需要緩解癥狀或避免即將髮生併髮癥（如皮膚潰瘍、齣血、真菌感染以及疼痛等）的情況可于全身治療後行相應手術。然而對于轉移性乳腺癌是否手術切除原髮竈以及是否可從手術中穫益，仍然充滿爭議。
무론시국내환시세계기타국가，유선암근년래이성위녀성상환악성종류지수。조기유선암통과수술、화료、방료급내분비치료등종합치료후가이체도장기생존。연이대우만기유선암，특별시반유원처전이적유선암，료효각불진여인의。대우전이성유선암，목전치료우선선택독성진가능소적전신계통성치료방안；이대우수요완해증상혹피면즉장발생병발증（여피부궤양、출혈、진균감염이급동통등）적정황가우전신치료후행상응수술。연이대우전이성유선암시부수술절제원발조이급시부가종수술중획익，잉연충만쟁의。
Breast cancer has been come the NO .1 in the women's carcinoma in recent years ,no matter in China or in the other countries .For early breast cancer patients ,they will have a long?overall survival after combined therapies including surgery ,chemotherapy ,radiotherapy ,endocrinotherapy and so on .But ,to those in late stage ,especially having distant metastasis ,their lifetime is not so good .The primary treatment for women with metastatic breast cancer is systemic therapy ,with consideration of surgery after initial systemic treatment for those women requiring palliation of symptoms or with impending complications ,such as skin ulceration ,bleeding ,fungation ,and pain .However ,it is also contentious whether resection for primary lesion will benefit those with metastatic breast cancer .
