早期乳腺癌保乳术后未行放疗原因调查与分析

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.Conclnsions 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.