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2019年乳腺癌外科治疗热点问题
作者: 刘泓金  叶京明  刘荫华
Authors: Liu Hongjin, Ye Jingming, Liu Yinhua
单位: 北京大学第一医院乳腺疾病中心100034
Units: Breast Disease Center, Peking University First Hospital, Beijing 100034, China
关键词: 乳腺肿瘤;修复外科手术;新辅助化疗;热点问题
Keywords: Breast neoplasms;Reconstructive surgical procedures;Neoadjuvant chemotherapy;Hot issues
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出版年,卷(期):页码:2020,47(1):1-6
摘要:

 乳腺癌综合治疗水平的提高不但改善了患者的预后,也影响了外科手术治疗的策略,特别是术前新辅助化疗的广泛开展,使前哨淋巴结活检时机与新辅助化疗的关系、新辅助化疗后保乳手术切缘相关问题成为外科治疗讨论的热点。此外,对于不能接受乳房全切术的乳腺癌患者,乳房全切术后Ⅰ期重建是目前最好的保留美容乳房外形的手术方式,重建的方式和材料选择仍然是外科治疗另一个讨论的热点。本文回顾了2019年上述乳腺癌外科治疗的热点问题,以期引起外科同道对乳腺癌规范治疗和加强多学科协作的思考。

 The improvement of comprehensive therapy of breast cancer, not only improve the prognosis of patients, but also affect the strategy of surgical treatment, especially the widespread development of preoperative neoadjuvant chemotherapy. The timing of sentinel lymph node biopsy and the incision margin of breastconserving surgery in patients treated with neoadjuvant chemotherapy are hot topics for surgeons. And for patients who cannot accept total breast resection, stage I reconstruction after mastectomy is the best surgical method to preserve the cosmetic breast shape. Methods and materials of reconstruction are another hot topic of surgical treatment. This article reviews the hot issues of surgical treatment of breast cancer in 2019, with a view to arousing the thinking of surgical colleagues on standardized treatment of breast cancer and strengthening multidisciplinary collaboration.

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