乳腺癌保乳手术的研究进展  

Progress of breast conservation surgery for breast cancer

作　　者：杨若宁 吴云皓 卢山[1,2] 陈洁[1,2] YANG Ruoning;WU Yunhao;LU Shan;CHEN Jie(Department of General Surgery,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Breast Center,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院普外科,成都610041 [2]四川大学华西医院乳腺疾病中心,成都610041

出　　处：《华西医学》2023年第8期1269-1275,共7页West China Medical Journal

基　　金：国家自然科学基金(32071284);四川省科学技术厅科技计划项目(2019YFS0338)。

摘　　要：乳腺癌是目前女性人群中发病率最高的恶性肿瘤。其治疗方式包括手术、放射治疗、新辅助和辅助治疗,其中以手术治疗为主要治疗方式。常见的乳腺癌手术方式包括保乳手术(breast conservation surgery,BCS)和乳房全切手术等。该文从BCS对乳腺癌患者生存的影响,BCS后患者生活质量,年轻患者和老年患者的BCS后生存,新辅助化学治疗后的BCS,乳腺癌易感基因突变患者的保乳以及保乳术后同侧乳房复发后能否再次保乳方面,对近年来BCS的相关研究进展进行了综述,以对临床医生后续开展工作提供参考。At present,breast cancer is most common malignant tumor among female population.The treatment of breast cancer comprises surgery,radiotherapy,neoadjuvant and adjuvant therapy,with surgical as the main treatment approach.Common surgical methods for breast cancer include breast conservation surgery(BCS)and mastectomy.This article reviews the recent researches about the survival of breast cancer patients receiving BCS,the quality of life for patients receiving BCS,the survival of young and elderly patients receiving BCS,BCS after neoadjuvant chemotherapy,BCS for patients with breast cancer susceptibility gene mutation,and BCS for patients with ipsilateral breast tumor recurrence,so as to provide reference for the follow-up work of medical staff.

关 键 词：乳腺癌 保乳手术 总生存 

分 类 号：R737.9[医药卫生—肿瘤]