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
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- 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).
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- 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.
