中国县域乳腺癌防治管理路径与质量控制指南(2023版)  

Guideline for the management path and quality control of breast cancer prevention and treatment in China's counties (2023 edition)

作　　者：国家肿瘤质控中心乳腺癌专家委员会 健康中国研究中心癌症防治专家委员会 马飞 徐兵河 兰波 路平[4] 刘梦友 Breast Cancer Expert Committee of National Cancer Quality Control Center;ancer Prevention and Treatment Committee of Healthy China Research Center;Ma Fei;Xu Binghe(不详;Department of Medical Oncology,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China;Department of Clinical Trial Center,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union MedicalCollege,Beijing 100021,China)

机构地区：[1]不详 [2]国家癌症中心、国家肿瘤临床医学研究中心、中国医学科学院北京协和医学院肿瘤医院内科,北京100021 [3]国家癌症中心、国家肿瘤临床医学研究中心、中国医学科学院北京协和医学院肿瘤医院药物临床试验研究中心,北京100021 [4]新乡医学院第一附属医院肿瘤内科 [5]利辛县人民医院甲乳外科

出　　处：《中华肿瘤杂志》2024年第1期1-18,共18页Chinese Journal of Oncology

摘　　要：乳腺癌是威胁中国女性健康的第一大恶性肿瘤。2016年中国女性新发乳腺癌30.60万例, 其中中国县域地区(包含农村地区)新发乳腺癌约10.04万例, 约占同年中国总新发乳腺癌的33%。县域(县级或县级市)医院是多数县域乳腺癌患者的首诊单位, 在乳腺癌的预防、筛查、维持治疗、康复随访和转诊等方面发挥重要作用。县域医院由于经济和地理等因素的限制, 在医疗设备、人才、药物可及性等方面都相对不足, 亟需适合县域实际情况的乳腺癌防治管理指南。因此, 在分级诊疗的政策背景下, 国家肿瘤质控中心乳腺癌专家委员会和健康中国研究中心癌症防治专家委员会起草并制定了《中国县域乳腺癌防治管理路径与质量控制指南(2023版)》, 旨在进一步促进优质医疗资源扩容下沉、区域均衡布局, 提高整体乳腺癌的防控效果, 改善县域乳腺癌患者的预后和生活质量。指南采用路径形式, 更加简明清晰且实操性强, 以供广大县域临床医师参考。Breast cancer is the most common malignant tumor among women in China.In 2016,there were about 306000 new cases of breast cancer in Chinese females.Of these,about 33%(100400)occurred in rural areas.County-level(counties or county-level cities)hospitals are the first diagnosis units for most rural breast cancer patients and play an important role in cancer prevention,screening,maintenance treatment,rehabilitation,follow-up,and referral.Due to economic and geographical constraints,county-level hospitals are relatively deficient in medical equipment,health human resources,and drug accessibility.There is an imperative need for breast cancer prevention and management guidelines that are suitable for the actual situation in China's counties.Therefore,under the policy background of hierarchical diagnosis and treatment,the Chinese expert group formulated the“Guideline for the management path and quality control of breast cancer prevention and treatment in China's counties(2023 edition)”,aiming to expand the availability of quality medical resources and ensure they are better distributed among regions,enhance the capacity for breast cancer prevention and treatment,so as to improve the prognosis and quality of life of patients in China's counties.This guideline provides path diagrams which are concise,unambiguous and easy to translate into clinical practice,as reference for clinicians in county-level hospitals.

关 键 词：乳腺肿瘤 防治管理 质量控制 县域 指南 

分 类 号：R737.9[医药卫生—肿瘤]