发现了乳腺癌,有的说先手术再化疗比较好,有的说先化疗再手术比较好,哪个更有道理?为此,记者专访了中山大学孙逸仙纪念医院乳腺肿瘤医学部主任苏逢锡教授。记者:乳腺癌该先化疗再手术还是先手术再化疗,怎么判断?苏逢锡教授:在那么多的肿瘤里,乳腺癌的治疗效果还是比较好的。其中一个重要的原因就是,通过多种治疗手段,包括手术、化疗、内分泌治疗、放疗、生物治疗等,基本都能获益。而在上述五种治疗手段里,究竟哪种先做,哪种后做,目前还有争议。以前的观点一般是首选手术,术后再进行化疗,但现在,先做化疗再手术也很普遍。实际上,化疗既可以在术前做,也可以在术后做,甚至还可以在术中做(即手术的同时注射化疗药);而研究 Found that the first surgery and then chemotherapy is better, and some said that the first chemotherapy and then surgery is better, which is more justified? To this end, the reporter interviewed Sun Yat-sen Memorial Hospital of Sun Yat-sen University Medical Professor Breast Cancer Professor Su Fengxian. Reporter: Breast cancer before surgery or surgery first and then chemotherapy, how to judge? Professor Su Feng: In so many tumors, the treatment effect of breast cancer is still relatively good. One of the important reasons is that basic treatment can benefit from various treatments, including surgery, chemotherapy, endocrine therapy, radiotherapy, and biological therapy. In the above five kinds of treatment, what kind of first do, what kind of do, there is still controversy. The previous view is generally the preferred surgery, followed by chemotherapy, but now, the first re-chemotherapy is also very common. In fact, chemotherapy can be done either preoperatively or postoperatively, or even during the procedure (that is, surgery with the injection of a chemotherapeutic drug); and research