Penatalaksanaan Kanker Payudara

Oleh :

dr.Dizi Bellari Putri

Penatalaksanaan kanker payudara bergantung pada ukuran lesi, sifat reseptor hormonal, penanda histologi, ada tidaknya metastasis, usia, dan pertimbangan preferensi pasien. Terapi pembedahan kanker payudara dapat berupa lumpektomi, mastektomi, dan mastektomi bilateral. Selain itu, radioterapi, kemoterapi, terapi target, maupun terapi hormonal dapat diberikan sesuai dengan karakteristik dan stadium kanker payudara.[1,4,5]

Pada pasien dengan kanker payudara metastatik yang reseptor positif reseptor hormonal dan negatif reseptor HER-2, terapi endokrin dan inhibitor CDK4/6 dapat diberikan.[5]

Pembedahan

Referensi

1. Menon G, Alkabban FM, Ferguson T. Breast Cancer. 2024. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK482286/
3. Obeagu EI, Obeagu GU. Breast cancer: A review of risk factors and diagnosis. Medicine (Baltimore). 2024 Jan 19;103(3):e36905. doi: 10.1097/MD.0000000000036905.
4. Łukasiewicz S, Czeczelewski M, Forma A, Baj J, Sitarz R, Stanisławek A. Breast Cancer-Epidemiology, Risk Factors, Classification, Prognostic Markers, and Current Treatment Strategies-An Updated Review. Cancers (Basel). 2021 Aug 25;13(17):4287. doi: 10.3390/cancers13174287.
5. Chalasani P. Breast Cancer. Medscape, 2024. https://emedicine.medscape.com/article/1947145-overview
25. Goethals A, Rose J. Mastectomy. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK538212/
26. Kuwajerwala NK. Modified Radical Mastectomy. Medscape, 2024. https://emedicine.medscape.com/article/1830105-overview#a1
27. Jordan RM, Oxenberg J. Breast Cancer Conservation Therapy. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK547708/
28. Mouabbi JA. Breast Cancer Treatment Protocols. Medscape, 2023. https://emedicine.medscape.com/article/2006464-overview
29. Newton EV. Medscape, Adjuvant Therapy for Breast Cancer. Medscape, 2023. https://emedicine.medscape.com/article/1946040-overview#a1
31. Farrar MC, Jacobs TF. Tamoxifen. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK532905/
32. Peters A, Tadi P. Aromatase Inhibitors. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK557856/
33. Choi HJ, Lee JH, Jung CS, et al. Oncologic efficacy of gonadotropin-releasing hormone agonist in hormone receptor-positive very young breast cancer patients treated with neoadjuvant chemotherapy. World J Clin Cases. 2023 Sep 26;11(27):6398-6406. doi: 10.12998/wjcc.v11.i27.6398.
34. Sunilkumar MM, Finni CG, Lijimol AS, Rajagopal MR. Health-Related Suffering and Palliative Care in Breast Cancer. Curr Breast Cancer Rep. 2021;13(4):241-246. doi: 10.1007/s12609-021-00431-1.
35. Boon M, van Dorp E, Broens S, Overdyk F. Combining opioids and benzodiazepines: effects on mortality and severe adverse respiratory events. Ann Palliat Med. 2020 Mar;9(2):542-557. doi: 10.21037/apm.2019.12.09

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