乳腺癌保乳手术治疗进展

Progression of breast conserving surgery

关键词:  乳腺癌  保乳术  进展

Key words:  breast neoplasm  breast conserving surgery  progression

摘要:

随着“乳腺癌是一全身性疾病”的提出以及循证医学的发展，乳腺癌的治疗模式从以往的单纯依靠手术治疗转变为多学科的综合治疗。乳腺癌的外科治疗理念从一个多世纪前的“可以耐受的最大治疗”转变为综合治疗保障下的“最小有效治疗”。保乳术及术后综合治疗已成为治疗早期乳腺癌的主要方法之一。本文就近年来关于乳腺癌保乳术手术方式、手术技术问题、适应证及禁忌证、治疗效果、存在的问题等方面作一综述。

Abstract:

With the "breast cancer is a systemic disease" proposed and the development of evidence-based medicine, the treatment mode of breast cancer has changed from the previous rely on surgery solely to multidisciplinary treatment, Also concept of surgical treatment of breast cancer from "maximum tolerated treatment" more than a century ago to "minimum effective treatment" under the multidisciplinary treatment. Breast conserving surgery and combined therapy has become one of the main methods for treatment of early breast cancer. This article will review breast conserving surgery from surgical mode,surgical technical, indications and contraindications, treatment effection and problems in recent years.