乳腺癌外科治疗十大热点

Top 10 Hotspots for Breast cancer Surgery

外科治疗是乳腺癌最主要的治疗手段,近年来随着乳腺癌的全身治疗的不断发展,乳腺癌的外科治疗理念也在发生变化,包括导管原位癌的外科治疗策略、前哨淋巴结微转移或宏转移的腋窝处理策略、新辅助治疗后的前哨淋巴结活检和保乳的安全性、新辅助治疗后手术时机的选择、年轻乳腺癌的外科治疗、Ⅳ期乳腺癌的手术治疗、植入物乳房重建的放疗时机等,面对这些问题,乳腺外科医生往往存在困惑,本文结合近年来乳腺癌外科治疗领域的最新进展及国内外指南,对困惑着乳腺外科医生的乳腺癌外科治疗十大热点问题进行总结,使乳腺癌的外科治疗更加规范化、个体化。

Surgical treatment is still the most important means of breast cancer treatment,but in recent years,with the continuous development of systemic treatment level of breast cancer,the surgical treatment concept of breast cancer is also changing.Including surgical treatment strategy of ductal carcinoma in situ,sentinel lymph node micrometastases or macro metastasis of axillary processing strategy,Safety of sentinel lymph node biopsy and breast conserving after neoadjuvant therapy,the timing of surgery after neoadjuvant therapy,surgical treatment of young breast cancer,Surgical treatment of stageⅣbreast cancer,radiation time to implant breast reconstruction,etc.,in the face of these problems,Breast surgeons are often confused.In this paper,ten hot issues in the surgical treatment of breast cancer are summarized based on the latest progress in the surgical treatment of breast cancer in recent years and guidelines at home and abroad,so as to make the surgical treatment of breast cancer more standardized and individualized.