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Breast cancer is one of the most common cancers affecting women’s health, and its incidence varies widely according to economic development, screening coverage and lifestyle [1]. With advances in diagnostic technology and global health awareness, more breast cancer patients are opting for breast reconstruction after mastectomy to improve their quality of life and body image.

乳腺癌是影响女性健康的最常见癌症之一，其发病率因经济发展，筛查覆盖率和生活方式而异（1）。随着诊断技术的进步和全球健康意识的提高，越来越多的乳腺癌患者在乳房切除术后选择乳房再造，以改善他们的生活质量和身体形象。

Meanwhile, post-operative radiotherapy is part of the standard of care to reduce recurrence rates and improve survival [2]. However, there are many challenges to the use of radiotherapy in combination with breast reconstruction, including how to balance the effectiveness of treatment with the risk of complications, especially under different health insurance systems and medical technology conditions [3].We read with great interest the paper by Ryu et al.

同时，术后放疗是降低复发率和提高生存率的标准护理的一部分（2）。然而，放射治疗与乳房再造相结合存在许多挑战，包括如何平衡治疗效果与并发症风险，特别是在不同的医疗保险制度和医疗技术条件下（3）。我们饶有兴趣地阅读了Ryu等人的论文。

in the latest issue. This study provides the first systematic assessment of the practice patterns and complications of postoperative reconstruction and radiotherapy for breast cancer by analysing large data from across Korea, specifically investigating the safety and efficacy of conventional fractionation versus hypofractionated fractionation radiotherapy regimens in patients undergoing breast reconstruction [4].

在最新一期中。这项研究通过分析来自韩国的大量数据，首次系统地评估了乳腺癌术后重建和放疗的实践模式和并发症，特别是研究了常规分割与大分割分割放疗方案在乳房重建患者中的安全性和有效性[4。

By comparing the complication rates of the two radiotherapy segmentation regimens in patients with immediate and delayed reconstruction, this study adds to the limited knowledge in the current literature on the use of hypofractionated fractionation in postoperative reconstruction patients and provides empirical data to support future clinical decision-making and policy development, particularly in studies of applicability in Asian populations.

通过比较两种放疗分割方案在即刻和延迟重建患者中的并发症发生率，本研究增加了目前文献中关于术后重建患者使用大分割分割的有限知识，并提供了经验数据来支持未来的临床决策和政策制定，特别是在亚洲人群适用性研究中。

In addition, this study provides valuable insights into assessing the impact of different radiothe.

此外，这项研究为评估不同放射性物质的影响提供了有价值的见解。

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ReferencesGu J, Tong T, Xu D, Cheng F, Fang C, He C, et al. Deep learning radiomics of ultrasonography for comprehensively predicting tumor and axillary lymph node status after neoadjuvant chemotherapy in breast cancer patients: a multicenter study. Cancer. 2023;129:356–66. https://doi.org/10.1002/cncr.34540.Article .

参考文献Gu J，Tong T，Xu D，Cheng F，Fang C，He C，et al。超声深度学习放射学对乳腺癌患者新辅助化疗后肿瘤和腋窝淋巴结状态的综合预测：一项多中心研究。癌症。2023年；129:356-66。https://doi.org/10.1002/cncr.34540.Article。

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Tramacere F, Arcangeli S, Colciago RR, Lucchini R, Pati F, Portaluri M. Outcomes and toxicity following post-operative hypofractionated radiotherapy to the regional nodes and the breast or the chest wall in locally advanced breast cancer. Br J Radiol. 2022;95:20211299. https://doi.org/10.1259/bjr.20211299.Article .

Tramacere F，Arcangeli S，Colciago RR，Lucchini R，Pati F，Portaluri M.局部晚期乳腺癌术后局部淋巴结和乳房或胸壁大分割放疗后的结果和毒性。Br J放射学。2022年；95:20211299。https://doi.org/10.1259/bjr.20211299.Article。

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Park TH，Chung SW，Song SY，Lew DH，Roh TS，Lee DW。。J Mater Sci Mater Med。2018；29:27。https://doi.org/10.1007/s10856-018-6036-6.Article。

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Ryu H, Shin KH, Chang JH, Jang BS. A nationwide study of breast reconstruction after mastectomy in patients with breast cancer receiving postmastectomy radiotherapy: comparison of complications according to radiotherapy fractionation and reconstruction procedures. Br J Cancer. 2024. https://doi.org/10.1038/s41416-024-02741-4.Download referencesFundingApplied Basic Research Programme of Science and Technology Project of Liaoning Province (2023TH2/101300122).Author informationAuthors and AffiliationsDepartment of Plastic and Cosmetic Surgery, The People’s Hospital of Liaoning Province, Shenyang, Liaoning, 110015, ChinaJilong Yuan & Ming XiaoSchool of Acupuncture-Moxibustion and Tuina, Liaoning University of Traditional Chinese Medicine, Shenyang, Liaoning, 110847, ChinaQu ZhengAcupuncture Biology Key Laboratory of the Education Department of Liaoning Province, Shenyang, Liaoning, 110847, ChinaQu ZhengKey Laboratory of Acupuncture and Moxibustion Health and Rehabilitation in Liaoning Province, Shenyang, Liaoning, 110847, ChinaQu ZhengAuthorsJilong YuanView author publicationsYou can also search for this author in.

Ryu H，Shin KH，Chang JH，Jang BS。接受乳房切除术后放疗的乳腺癌患者乳房切除术后乳房重建的全国性研究：根据放疗分割和重建程序比较并发症。Br J癌症。2024https://doi.org/10.1038/s41416-024-02741-4.Download参考文献资助辽宁省科技项目应用基础研究计划（2023TH2/101300122）。。

PubMed Google ScholarMing XiaoView author publicationsYou can also search for this author in

PubMed Google ScholarMing XiaoView作者出版物您也可以在

PubMed Google ScholarQu ZhengView author publicationsYou can also search for this author in

PubMed Google ScholarQu ZhengView作者出版物您也可以在

PubMed Google ScholarContributionsJilong Yuan wrote the manuscript, Ming Xiao provided methodological and theoretical support, and Qu Zheng revised the manuscript and provided financial support.Corresponding authorCorrespondence to

PubMed谷歌学术贡献袁志龙撰写了手稿，明晓提供了方法论和理论支持，曲征修改了手稿并提供了资金支持。对应作者对应

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Additional informationPublisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.Rights and permissionsReprints and permissionsAbout this articleCite this articleYuan, J., Xiao, M. & Zheng, Q. Comment on: “A nationwide study of breast reconstruction after mastectomy in patients with breast cancer receiving postmastectomy radiotherapy: comparison of complications according to radiotherapy fractionation and reconstruction procedures”..

Additional informationPublisher的注释Springer Nature在已发布的地图和机构隶属关系中的管辖权主张方面保持中立。权利和许可打印和许可本文引用本文Yuan，J.，Xiao，M。＆Zheng，Q。评论：“接受乳房切除术后放疗的乳腺癌患者乳房切除术后乳房重建的全国性研究：根据放疗分割和重建程序比较并发症”。。

Br J Cancer (2024). https://doi.org/10.1038/s41416-024-02807-3Download citationReceived: 17 June 2024Revised: 16 July 2024Accepted: 22 July 2024Published: 01 August 2024DOI: https://doi.org/10.1038/s41416-024-02807-3Share this articleAnyone you share the following link with will be able to read this content:Get shareable linkSorry, a shareable link is not currently available for this article.Copy to clipboard.

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