中国实用外科杂志

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乳腺良性疾病诊治共识与争议

段学宁   

  1. 北京大学第一医院乳腺疾病中心,北京100034
  • 出版日期:2016-07-01 发布日期:2016-06-23

  • Online:2016-07-01 Published:2016-06-23

摘要:

我国乳腺癌发病率呈快速上升趋势,预防乳腺癌的发生、早期发现和及时治疗成为关注焦点。在众多乳腺癌相关因素中,研究乳腺增生症、非哺乳期乳腺炎、乳腺纤维腺瘤及导管内乳头状瘤等乳腺良性疾病与乳腺癌之间的患病风险,规范其临床诊断与治疗原则尤为重要。中华预防医学会妇女保健分会乳腺保健与乳腺疾病防治学组组织国内临床医学、医学影像学及病理学等多学科专家在文献复习的基础上进行了深入讨论,根据求同存异的原则,针对上述疾病的诊治原则形成共识。但乳腺良性疾病的诊治程序仍存在争议,对其认识也将继续完善,相关证据亦会不断更新。

关键词: 乳腺增生症, 非哺乳期乳腺炎, 乳腺纤维腺瘤, 乳腺导管内乳头状瘤

Abstract:

Consensus and controversy in the diagnosis and treatment of breast benign diseases        DUAN Xue-ning.Breast Disease Center,Peking University First Hospital,Beijing 100034,China
Abstract    The prevalence of breast malignancy increases rapidly in China nowadays. Prevention and treatment of breast cancer has received more and more attention from the government, the academic circles and the public. Meanwhile, early detection and timely treatment of breast malignancy remains the focal point. Among the numerous inducements, breast benign diseases, such as breast hyperplasia, non-lactation mastitis, fibroadenoma and intraductal papilloma, are closely related with breast cancer. Several important issues about breast benign disease are widely concerned, including the risk of breast cancer and the standard diagnosis and treatment. With the transformation of medical mode from experience medicine to evidence-based medicine, the diagnosis and treatment process of breast benign disease should be revised for the accurate diagnosis and standard treatment. The expert consensus on breast benign disease has incorporated opinions from experts of pathology, radiology and clinical medicine to provide the best guidance for clinical practice.However,the process of diagnosis and treatment of breast benign diseases remains controversial.Its understanding will continue to improve.The relevant evidence will be updated constantly.

Key words: breast hyperplasia, non-lactation mastitis, breast fibroadenoma, breast intraductal papilloma