中国实用外科杂志
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王 斐,余之刚
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摘要:
“乳腺增生(症)”是临床中最常见的女性乳腺良性疾病,临床及病理学表现多样,其概念、分类、诊断和治疗等仍存在较大争议。乳腺增生病理组织学改变及远期预后复杂多样,并非单一疾病,而是一类或一组疾病的集合。因存在继发或伴发乳腺癌的客观风险,故应辨证、客观、理性地看待乳腺增生,在充分查体及影像学评估结合必要的病理学评价基础上进行分类诊疗是乳腺增生的优选应对策略。其中,在临床、影像及病理多学科协作的基础上,合理筛选需要临床干预特别是外科干预的乳腺增生应是乳腺增生规范化诊疗的重中之重。
关键词: 乳腺增生, 乳腺癌, 分类
Abstract:
Further discussion on the clinical problems of "breast hyperplasia" WANG Fei,YU Zhi-gang. Department of Breast Surgery, the Second Hospital of Shandong University, Jinan 250033,China Corresponding author: YU Zhi-gang, E-mail:yzg@medmail.com.cn Abstract Breast hyperplasia is one of the most common female benign breast diseases in clinical practice, and it has a wide range of clinical manifestation and pathological changes. Currently, there are a lot of controversies as to the definition, classification, diagnosis and treatment of breast hyperplasia. Because of the complicated pathological changes and inconsistent prognosis, breast hyperplasia should be more often considered as a group of diseases rather than a single disease. However, considering the absolute and objective risk of concomitant or subsequent breast cancer, comprehensive assessment of clinical history, physical examination, imaging tests and possible biopsy should be recommended, and subsequent treatment should be classified. Based on multidisciplinary cooperation including breast clinicians, radiologists and pathologists, surgeons should pay more attention to the screening of patients who need clinical intervention especially surgical intervention.
Key words: breast hyperplasia, breast cancer, classification
王 斐,余之刚. 再议“乳腺增生(症)”的临床问题[J]. 中国实用外科杂志, DOI: 10.19538/j.cjps.issn1005-2208.2018.11.04.
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https://www.zgsyz.com/zgsywk/CN/Y2018/V38/I11/1232