361 KB0 KB200820252008Bešić, Nikolaletnik:7str. 68-72številka:supl. 2ISSN:1580-9315COBISSID:24046041URN:URN:NBN:SI:doc-H0JE9GQNslUniverzitetni rehabilitacijski inštitut Slovenije - SočaRehabilitacija (Ljubljana)Breast neoplasmsdojkeonkologijarak (medicina)rehabilitacijaRehabilitationSurgeryzdravljenjeBolnice z rakom dojk in rehabilitacija - vidik onkološkega kirurga| The patient with breast carcinoma and rehabilitation - viewpoint of surgical oncologist|Breast cancer is a frequent disease. Patients undergo locoregional surgery and/or radiation therapy and additional systemic treatment with hormones, cytostatics and/or biological medications. The survival rate is the same when the entire breast is removed or only a part of the breast is removed and the remaining part is treated with radiation therapy. Compared to axillary clearance, lymph node biopsy is a less aggressive surgical technique enabling the preservation of intercostobrachial nerves and decreasing the probability of the onset of chronic pain. In cases of conservation surgery, post-operative radiation therapy of the breast is required. Radiation of the supraclavicular hollow is indicated when the pathologist locates more than three metastases in the axillary lymph nodes. Most patients receive systemic treatment with hormones, cytostatics and/or target medications. There has been an increase in the use of aromatase inhibitors which can cause osteoporosis and joint pain. Subacute and late effects of cytostatic treatment include cardiac disorder, anorexia nervosa, osteoporosis due to early menopause and chronic fatigue syndrome. Rehabilitation of breast cancer patients after the conclusion of oncologic treatment improves the quality of life. Chronic pain as well as lymphedema and limited shoulder mobility decrease the quality of life. Patients experience pain more frequently after axillary clearance than after lymph node biopsy, and that pain limits them frequently and significantly. Depression as a consequence of chronic pain decreases their ability to work. The treatment of lymphedema is essential and can be carried out at all the stages of the edema. After the conclusion of the treatment, breast cancer patients need adequate psychosocial and vocational rehabilitationTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča