网站首页杂志简介编委会投稿须知期刊订阅过刊浏览广告合作在线留言联系我们
位置:首页 >> 电子期刊 >> 正文
早期乳腺癌保乳手术的焦点问题
作者: 陈志强  康骅
Authors: Chen Zhiqiang, Kang Hua
单位: 首都医科大学宣武医院普外科甲状腺乳腺疾病诊疗中心,北京100053
Units: Department of General Surgery, Xuanwu Hospital, Capital Medical University, Thyroid and Breast Diseases Diagnosis and Treatment Center, Beijing 100053, China
关键词: 早期诊断;乳腺肿瘤;外科手术;保乳手术;焦点问题
Keywords: Early diagnosis;Breast neoplasms;Surgical procedures, operative;Breastconserving surgery;Focus issues
分类号:
出版年,卷(期):页码:2020,47(1):6-12
摘要:

 保乳手术已成为早期乳腺癌外科治疗的标准术式,但随着保乳手术的规范化推进,目前临床仍面临诸多焦点问题。首先,有关保乳手术的适应证,虽然总体达成一致,但有关年龄、肿瘤大小对保乳手术效果的影响仍值得关注;其次,如何确保切缘阴性以及修复组织缺损进而达到较好乳房外形是保乳手术成功的关键;另外,术中切缘评估方法的改进、肿瘤整形技术、新辅助化疗、腋窝前哨淋巴活检、腔镜辅助技术及新型人工材料和3D打印技术在保乳手术中的运用均为保乳手术的发展提供了更好的前景。本文将对上述有关早期乳腺癌的焦点问题作一综述。

 Breastconserving surgery (BCS) has become a standard surgical method for early breast cancer. However, with the standardization of BCS, there are still many core issues in clinical practice. First of all, although the indications for BCS generally reach a consensus, the effects of age and tumor size on BCS are still worthy of attention; in addition, how to ensure the negative margin and repair tissue defect that achieve better breast shape are the key to the success of BCS; what′s more, the improvement of margin evaluating methods and the application of oncoplastic technic, neoadjuvant chemotherapy, axillary sentinel lymph node biopsy, mastoscopic technique in the BCS, new artificial materials and 3D printing technology, all for the development of BCS provides a better future. This article will summarize the abovementioned focus issues on early breast cancer.

基金项目:
作者简介:
参考文献:
服务与反馈:
文章下载】 【加入收藏
    广告合作

地址:北京市西城区永安路95号《国际外科学杂志》编辑部

 

邮编:100050               电话:010-63138570 

 

传真:010-63139265   Email: gjwkx@263.net 

 

投稿网址:http://www.cma.org.cn/html/main/index.html