Quality control in locoregional treatment of breast carcinoma
Keywords:
quality control, locoregional treatment, breast cancerAbstract
The prognosis of the breast cancer patients is dependent on the biological properties of the cancer, but cosmesis, morbidity and locoregional control are the result of a surgical act. The outcome of different surgical procedures can be measured. In breast cancer patients, optimal care starts with a proper surgical act, based on optimal imaging and diagnosis. The right type of operation should be indicated and performed by an experienced surgeon.
Povzetek
Prognoza pri karcinomu dojk je v veliki meri odvisna od bioloških lastnosti karcinoma. Kozmetične spremembe dojke in lokoregionalni nadzor bolezni so odvisne predvsem od kirurškega posega in RT. Kakovost različnih kirurških posegov opravljenih zaradi karcinoma dojk lahko izmerimo. Pogoj za optimalno zdravljenje je dobro opravljen kirurški poseg. Za to so potrebne dobre slikovne preiskave in diagnostika ter pravi tip kirurškega posega, ki ga mora opraviti izkušen kirurg z ustreznim znanjem. Prispevek opisuje glavne kirurške posege na dojki in regionalnih bezgavkah ter indikacije zanje. Pri učenju kirurške tehnike je navedeno zahtevano število posegov. Prispevek podaja tudi merila kakovosti in priporočila za kontrolo kakovosti pri lokoregionalnem zdravljenju invazivnega in neinvazivnega karcinoma dojk.
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