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《2015 年St. Gallen 早期乳腺癌国际专家共识》手术治疗部分解读

吴克瑾1陆云姝1,UWe. Köhler2   

  1. 1 上海交通大学医学院附属新华医院普外科,上海200092;2 Klinik für Gynäkologie und Geburtshilfe am Klinikum St. Georg, Leipzig, Deutschland(德国)
  • 出版日期:2015-07-01 发布日期:2015-06-30

  • Online:2015-07-01 Published:2015-06-30

摘要:

《2015年 St. Gallen早期乳腺癌国际专家共识》在外科手术领域做出了若干更新,指出最小可接受保乳切缘为“无浸润性肿瘤或导管原位癌(ductual carcinoma in situ, DCIS)印染”;只要切缘达到“无浸润性肿瘤或DCIS印染”标准以及有计划行术后放疗,小叶组织来源、广泛导管内成分、年轻病人、多灶或多中心和不良生物学亚型的早期乳腺癌同样可行保乳手术;ACOSOG Z0011的结果在临床实践中推广是可行的。

关键词: 早期乳腺癌, St. Gallen 共识, 手术

Abstract:

Express and interpretation on surgical treatment from St. Gallen International Expert Consensus on the Primary Therapy of Early Breast Cancer 2015        WU Ke-jin*,LU Yun-shu, UWe. Köhler. *Department of General Surgery, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
Corresponding author:WU Ke-jin, E-mail:kejinwu@163.com
Abstract    St. Gallen International Expert Consensus on the Primary Therapy of Early Breast Cancer 2015 issued some renewal on surgical treatment as follows, based on some newly-published and reliable clinical trials. The Panel agreed that the minimal acceptable surgical margin was ‘no ink on invasive tumor or DCIS’. The early-stage breast cancer patients should be treated with breast conservation, provided the above margin clearance was obtained and whole breast radiotherapy was planned, regardless of tumor characteristics such as lobular histology, extensive intraductal component, young age, multifocality or multicentricity and unfavourable biological subtype. It was applicable to generalize the ACOSOG Z0011 findings in clinical practice.

Key words: early-stage breast cancer, St. Gallen consensus, surgical treatment