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中华乳腺病杂志(电子版) ›› 2022, Vol. 16 ›› Issue (04) : 240 -242. doi: 10.3877/cma.j.issn.1674-0807.2022.04.008

综述

妊娠期乳腺癌患者保留乳房治疗进展
杨继鑫1, 卫美辰1, 李南林1,()   
  1. 1. 710032 西安,空军军医大学附属西京医院甲乳血管外科
  • 收稿日期:2020-08-25 出版日期:2022-08-01
  • 通信作者: 李南林

Breast­conserving treatment for women with breast cancer during pregnancy

Jixin Yang1, Meichen Wei1, Nanlin Li1()   

  • Received:2020-08-25 Published:2022-08-01
  • Corresponding author: Nanlin Li
引用本文:

杨继鑫, 卫美辰, 李南林. 妊娠期乳腺癌患者保留乳房治疗进展[J/OL]. 中华乳腺病杂志(电子版), 2022, 16(04): 240-242.

Jixin Yang, Meichen Wei, Nanlin Li. Breast­conserving treatment for women with breast cancer during pregnancy[J/OL]. Chinese Journal of Breast Disease(Electronic Edition), 2022, 16(04): 240-242.

妊娠期乳腺癌的发病率逐年升高,并且约25%妊娠期乳腺癌患者年龄在25~29岁之间,大多具有保留乳房(简称保乳)的需求。笔者通过回顾性分析国内外妊娠期乳腺癌保乳研究进展发现:目前保乳手术的应用人群为孕满14周或胎儿器官形成之后的妊娠期乳腺癌患者;保乳术后的放射治疗在分娩之前是严格禁止的;孕14周或胎儿器官形成后应用化疗是相对安全的,并发症发生率较低。中国青年女性的乳腺多为致密型乳腺,不推荐妊娠期乳腺癌患者术前行乳腺X线进行评估,在进行前哨淋巴结活组织检查时,放射性示踪剂和亚甲基蓝也是相对安全的。

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