[1]辛 伟,白宏宇,宫业宏,等.早期乳腺癌保乳手术治疗的研究[J].医学信息,2021,34(04):64-66.[doi:10.3969/j.issn.1006-1959.2021.04.017]
 XIN Wei,BAI Hong-yu,GONG Ye-hong,et al.Studies of the Breast-conservation in Early-stage Breast Cancer[J].Medical Information,2021,34(04):64-66.[doi:10.3969/j.issn.1006-1959.2021.04.017]
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早期乳腺癌保乳手术治疗的研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年04期
页码:
64-66
栏目:
综述
出版日期:
2021-02-15

文章信息/Info

Title:
Studies of the Breast-conservation in Early-stage Breast Cancer
文章编号:
1006-1959(2021)04-0064-03
作者:
辛 伟白宏宇宫业宏
(天津市滨海新区海滨人民医院外科,天津 300280)
Author(s):
XIN WeiBAI Hong-yuGONG Ye-honget al.
(Department of Surgery,Binhai People’s Hospital of Tianjin Binhai New Area,Tianjin 300280,China)
关键词:
乳腺癌保乳手术适应证
Keywords:
Breast cancerBreast-conserving surgeryIndications
分类号:
R737.9
DOI:
10.3969/j.issn.1006-1959.2021.04.017
文献标志码:
A
摘要:
乳腺癌是临床常见恶性肿瘤,尤其是近年来发病率不断上升,且趋于年轻化,严重威胁患者的生命健康。随着医学技术的发展,早期乳腺癌诊断率不断提高,手术治疗效果也明显改善,但传统根治术后,乳房缺失会给患者生理和心理造成严重影响,不利于预后。临床保乳手术可保留部分乳房,满足患者对美的需求,有效改善患者生活质量和心理状态。本文就早期乳腺癌保乳手术概述、适应证和禁忌证、方式、操作技巧和注意事项、术后辅助治疗以及有效性进行综述,以期为临床乳腺癌有效治疗提供理论依据。
Abstract:
Breast cancer is a common clinical malignant tumor, especially in recent years, the incidence of rising and tends to be younger, which seriously threatens the life and health of patients. With the development of medical technology, the diagnosis rate of early breast cancer is increasing and effect of surgical treatment is also significantly improved, but after the traditional radical mastectomy, the loss of breast will cause serious physiological and psychological effects on the patients, which is unfavorable to the prognosis of the patients. Breast-conserving surgery can save part of the breast, meet the needs of patients for beauty, effectively improve the quality of life and psychological status of patients. This article reviews the concept, methods, advantages and disadvantages of breast-conserving surgery for early breast cancer, as well as the post-operative adjuvant therapy, in order to provide a theoretical basis for the effective treatment of breast cancer.

参考文献/References:

[1]唐玮,刘剑仑,杨华伟,等.整形保乳手术与常规保乳手术在早期乳腺癌治疗中的比较分析[J].中国肿瘤临床,2016,43(6):235-239. [2]方华,玉素甫·买买提,黄韬,等.临床病理因素与不同分子分型乳腺癌患者预后的相关性分析[J].武汉大学学报医学版,2016,37(5):801-806. [3]蓝艳丹.乳腺肿瘤整形保乳手术与非整形保乳手术治疗早期乳腺癌临床对比研究[D].广西医科大学,2015. [4]中国抗癌协会乳腺癌专业委员会.中国抗癌协会乳腺癌诊治指南与规范(2015版)[J].中国癌症杂志,2015,191(9):692-754. [5]Volders JH,Negenborn VL,Haloua MH,et al.Breast-specific factors determine cosmetic outcome and patient satisfaction after breast-conserving therapy:Results from the randomized COBALT study[J].J Surg Oncol,2018,117(5):1001-1008. [6]李翔.保乳手术和改良根治术治疗早期乳腺癌的临床疗效分析[J].中华普外科手术学杂志,2017,11(3):222-225. [7]李崎,吴伟主.保乳手术与改良根治术治疗早期乳腺癌的临床疗效及对生活质量的影响[J].中国现代医生,2016,54(34):46-48. [8]马志军.保乳手术与改良根治术治疗早期乳腺癌的临床效果[J].中国肿瘤临床与康复,2015,22(11):1345-1347. [9]Moran MS,Schnitt SJ,Giuliano AE,et al.Society of Surgical Oncology-American Society for Radiation Oncology consensus guideline on margins for breast-conserving surgery with whole-breast irradiation in stages I and II invasive breast cancer[J].Int J Radiat Oncol Biol Phys,2016,88(3):553-564. [10]赵文生,黄安中,彭上清,等.保乳手术与改良根治术治疗早期乳腺癌的疗效对比[J].中国老年学杂志,2014,34(11):3005-3006. [11]Zeng H,Zheng R,Guo Y,et al.Cancer survival in China,2003-2005:apopulation-based study[J].Int J Cancer,2015,136(8):1921-1930. [12]邓军,贾建光,高愿,等.保乳手术和改良根治术治疗早期乳腺癌的临床对比研究[J].中华全科医学,2018,16(4):533-537. [13]Ho PJ,Hartman M,Young-Afat DA,et al.Determinants of satisfaction with cosmetic outcome in breast cancer survivors :A cross-sectional study[J].PLoS One,2018,13(2):e0193099. [14]姜大庆,谢贤鑫,赵林,等.乳腺外科整复术在乳腺癌保乳根治术中的应用[J].现代肿瘤医学,2016,24(9):1380-1384. [15]王运福.早期乳腺癌保乳手术临床治疗效果观察[J].中国现代药物应用,2017,11(23):32-33. [16]左文述,杨莉.乳腺癌保乳手术规范化实施值得关注的几个问题[J].中国实用外科杂志,2015,35(7):773-776. [17]王万贵.早期乳腺癌运用保乳手术治疗的效果评价[J].现代诊断与治疗,2015,26(22):5183-5184. [18]张洪彦.早期乳腺癌保乳手术的临床疗效分析[J].中国继续医学教育,2016,8(1):90-91. [19]Benson JR,Jatoi I.Highlights of the San Antonio Breast Cancer Symposium 2015:part 1[J].Future Oncol,2016,12(7):893-896. [20]张钧.保乳手术辅助放疗与改良根治术治疗早期乳腺癌的临床疗效比较[J].实用临床医药杂志,2015,19(9):110-111. [21]兰宝金.改良根治术与保乳手术治疗早期乳腺癌的临床价值比较[J].吉林医学,2016,37(3):687-688. [22]张锡贵,李太东,倪武,等.早期乳腺癌保乳手术联合放化疗治疗方案的临床研究[J].中国现代普通外科进展,2015,18(9):709-711. [23]张辉,胡孝渠.保乳手术治疗早期乳腺癌的临床观察[J].数理医药学杂志,2016,39(4):491-492. [24]李玉敏.早期乳腺癌保乳手术及改良根治术的临床疗效及生活质量的比较[J].实用癌症杂志,2016(8):221-222. [25]高学信.改良根治手术与保乳术治疗早期乳腺癌患者的疗效对比[J].河南医学研究,2016(4):109-110.

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