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中华乳腺病杂志(电子版) ›› 2023, Vol. 17 ›› Issue (02) : 65 -71. doi: 10.3877/cma.j.issn.1674-0807.2023.02.001

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第5版《年轻女性乳腺癌国际共识指南》更新要点解读
汪凯林, 李舜颖, 刘强()   
  1. 510289 广州,中山大学孙逸仙纪念医院乳腺肿瘤中心
  • 收稿日期:2022-11-29 出版日期:2023-04-01
  • 通信作者: 刘强

Commentary of updates to the 5th international consensus guidelines for breast cancer in young women

Kailin Wang, Shunying Li, Qiang Liu()   

  1. Breast Cancer Center, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510289, China
  • Received:2022-11-29 Published:2023-04-01
  • Corresponding author: Qiang Liu
引用本文:

汪凯林, 李舜颖, 刘强. 第5版《年轻女性乳腺癌国际共识指南》更新要点解读[J]. 中华乳腺病杂志(电子版), 2023, 17(02): 65-71.

Kailin Wang, Shunying Li, Qiang Liu. Commentary of updates to the 5th international consensus guidelines for breast cancer in young women[J]. Chinese Journal of Breast Disease(Electronic Edition), 2023, 17(02): 65-71.

乳腺癌已取代肺癌成为全球新发癌症的首位,是女性肿瘤中发病率和病死率最高的癌症。相比于西方国家,中国年轻乳腺癌患者的比例更高。对于年轻乳腺癌患者的诊疗,需要充分考虑到三阴性乳腺癌占比高、组织学分级高、HER-2过表达比例高、易复发、预后较差等特点。2022年8月,欧洲肿瘤学院和欧洲肿瘤内科学会发布了第5版《年轻女性乳腺癌国际共识指南》,笔者基于该指南中更新的要点,结合目前国内外其他指南共识进行解读,供同道参考。

Breast cancer has surpassed lung cancer as the most commonly diagnosed cancer, with the highest incidence and mortality among cancers in females. Compared with Western countries, the proportion of young breast cancer patients in China is relatively higher. In the diagnosis and treatment of young breast cancer patients, the clinicians should take the following characteristics into account: high proportion of triple negative breast cancer and, advanced tumor grade, high rate of HER-2 over-expression and proneness to recurrence and poor prognosis. In August 2020, the European School of Oncology and the European Society of Medical Oncology issued the 5th international consensus guidelines for breast cancer in young women (BCY5). In this article, we interpreted the updates on breast cancer diagnosis, treatment and follow-up in the BCY5 in combination with other guidelines in China and abroad, so as to provide a reference for clinicians.

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