Discussion on the adjustment of breast cancer surgery management process strategies during the outbreak of novel coronavirus pneumonia_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZHANG Zhen ,  ZHANG Xiaohong , ZHAO Lijuan , TANG Zhuowei , ZHANG Jing , LONG Li , FENG Jing , WEN Yixue

Department of Breast Surgery, Mianyang Central Hospital, Sichuan Province, Mianyang, Sichuan 621000, R. P. China;

Corresponding author：

ZHANG Xiaohong, Email: jiangzhangtong@sina.com

Keywords：

novel coronavirus pneumonia; breast tumor; epidemic prevention and control

DOI：

10.7507/1007-9424.202002069

Video：

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Objective To investigate the strategy adjustment of breast cancer surgery management process during the outbreak of novel coronavirus pneumonia (NCP), and to summarize the experience.Methods Based on "Pneumonitis Diagnosis and Treatment Plan for Novel Coronavirus Infection (Fifth Trial Version)" and "Surgery Work System During the Prevention and Control of Novel Coronavirus Infection in Mianyang Central Hospital (Second Edition)", the breast surgery department adjusted strategies and plans for breast cancer surgery during the epidemic.Results From January 25, 2020 to February 11, 2020, 8 cases of breast cancer surgery were performed in our hospital. They were all females, with an average age of 45 years. Five patients underwent modified radical mastectomy, 2 patients underwent breast-conserving surgery plus sentinel lymph nodes biopsy, and 1 case underwent breast-conserving surgery plus axillary lymph node dissection. All 8 patients were diagnosed as invasive ductal carcinoma of breast by hollow needle biopsy. All patients recovered smoothly after surgery, no complications occurred, and they were discharged as planned. No patients or medical staff showed NCP exposure and infection.Conclusion During the NCP epidemic, breast cancer surgery can be performed and the epidemic can be effectively prevented and controlled by adjusting the work flow and strategy.

Citation： ZHANG Zhen, ZHANG Xiaohong, ZHAO Lijuan, TANG Zhuowei, ZHANG Jing, LONG Li, FENG Jing, WEN Yixue. Discussion on the adjustment of breast cancer surgery management process strategies during the outbreak of novel coronavirus pneumonia. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2020, 27(6): 653-656. doi: 10.7507/1007-9424.202002069 Copy

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1. Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet, 2020, 395(10223): 497-506.
2. Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet, 2020, 395(10223): 507-513.
3. World Health Organization. Clinical management of severe acute respiratory infection when novel coronavirus (nCoV) infection is suspected: Interim Guidance. Jan 11, 2020. https://www.who. int/internal publications detail/clinical management of severe acute respiratory infection when novel coronavirus (ncov) infection is suspected (accessed Jan 20, 2020).
4. Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, 2018, 68(6): 394-424.
5. 陈万青, 郑荣寿. 中国女性乳腺癌发病死亡和生存状况. 中国肿瘤临床, 2015, 42(13): 668-674.
6. Assiri A, McGeer A, Perl TM, et al. Hospital outbreak of Middle East respiratory syndrome coronavirus. N Engl J Med, 2013, 369(5): 407-416.
7. 彭永海, 陈熙, 胡朝辉, 等. 新冠状病毒肺炎疫情期间外科手术安全防控体会. 中国普外基础与临床杂志, 2020, 27(4): 389-392.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Discussion on the adjustment of breast cancer surgery management process strategies during the outbreak of novel coronavirus pneumonia

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