20131020 02 林慧芬_乳癌病人的照護

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1 林慧芬 臺大醫院物理治療師 台灣大學物理治療研究所博士候選人 大綱 乳癌分期與相關治療 乳癌治療後遺症 乳癌手術後與相關治療的物理 治療

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Transcript of 20131020 02 林慧芬_乳癌病人的照護

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  • 2. Treatmentofbreastcancer Surgeryforbreastcancer Localversussystemictherapy Local Mastectomy y Modifiedradicalmastectomy(MRM) Breastconservingsurgery(BCS) Breastreconstructivesurgery Breastimplant TRAM h d L Lymphnodesurgery Axillarylymphnodedissection(ALND) Sentinellymphnodebiopsy(SLNB) Surgery Radiationtherapy Systemic Chemotherapy H th Hormonetherapy Targettherapy adjuvantversusneoadjuvant therapy Breastsurgery Axillarylymphnodesdissection (ALND) i i I III II I 2
  • 3. Thoracodorsal n. ,art. & vein Intercostobrachial n. Axillary vein y Long thoracic n. Serratus collateral artery Sentinellymphnodebiopsy (SLNB) Breastreconstruction 3
  • 4. Radiationtherapy Chemotherapy Jugular vein J l i Subclavian vein Cephalic vein 4
  • 5. Chemotherapyinducedperipheral neuropathy(CIPN) Chemobrain Weightgain Sequelae oftheupperquarter afterbreastcancertreatment Prognosisofthefollowingsurgeryand radiationforbreastcancer included32studiestoanalyze shoulderrestriction