The Role of Breast Care Center in the Breast Reconstruction

유방재건에서의 유방센터의 역할

  • Minn, Kyung Won (Research Institute of Plastic and Reconstructive Surgery, Department of Plastic and Reconstructive Surgery, College of Medicine, Seoul National University) ;
  • Park, Jin Hong (Research Institute of Plastic and Reconstructive Surgery, Department of Plastic and Reconstructive Surgery, College of Medicine, Seoul National University) ;
  • Park, Gul Gyoo (Research Institute of Plastic and Reconstructive Surgery, Department of Plastic and Reconstructive Surgery, College of Medicine, Seoul National University)
  • 민경원 (서울대학교 의과대학 성형외과학교실 성형재건 연구소) ;
  • 박진홍 (서울대학교 의과대학 성형외과학교실 성형재건 연구소) ;
  • 박철규 (서울대학교 의과대학 성형외과학교실 성형재건 연구소)
  • Received : 2007.04.30
  • Published : 2007.09.10

Abstract

Purpose: With the necessity of comprehensive care for the breast cancer patients, Breast Care Center of our hospital started to work in March 2004. This study examined the 3-year execution of Breast Care Center. The role of Breast Care Center was evaluated in aspect of clinical activities in quality and quantity. Methods: A retrospective review was carried out from 2001 to 2007 with breast cancer patients. The number and type of breast cancer surgery and breast reconstruction procedure were compared before and after Breast Care Center's foundation. Time required for the diagnosis and treatment was also compared. Regression analysis and T-test were used to identify the statistical significance. Results: The number of breast cancer surgery did not statistically increase compared with progressive increase of breast cancer. QUART(quadrantectomy, axillary dissection, radiotherapy) procedure statistically significantly increased and MRM(Modified Radical Mastectomy) procedure decreased for breast cancer surgery after foundation of Breast Care Center. The number of breast reconstruction procedures statistically significantly increased. The number of immediate TRAM free flap (Transverse Rectus Abdominal muscle free flap) procedures has grown 3.8 times after foundation of Breast Care Center. The time required for diagnosis and treatment was also shortened. Conclusion: After foundation of Breast Care Center, the number of breast reconstruction surgery increased, while the counselling time in breast reconstruction was reduced. Breast Care Center provided a prompt and comprehensive care to the breast cancer patients through the multidisciplinary therapeutic approaches.

Acknowledgement

Supported by : 한국과학재단

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