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中华乳腺病杂志(电子版) ›› 2025, Vol. 19 ›› Issue (02) : 65 -69. doi: 10.3877/cma.j.issn.1674-0807.2025.02.001

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乳腺癌非根治性手术临床研究证据
金钰婷1, 苑龙1, 齐晓伟1, 姜军1,()   
  1. 1. 400038 重庆,陆军军医大学第一附属医院乳腺外科
  • 收稿日期:2025-02-12 出版日期:2025-04-01
  • 通信作者: 姜军

Clinical research evidence of non-radical resection for breast cancer

Yuting Jin1, Long Yuan1, Xiaowei Qi1, Jun Jiang1,()   

  1. 1. Department of Breast Surgery,First Affialiated Hospital of Army Medical University, Chongqing 400038, China
  • Received:2025-02-12 Published:2025-04-01
  • Corresponding author: Jun Jiang
引用本文:

金钰婷, 苑龙, 齐晓伟, 姜军. 乳腺癌非根治性手术临床研究证据[J/OL]. 中华乳腺病杂志(电子版), 2025, 19(02): 65-69.

Yuting Jin, Long Yuan, Xiaowei Qi, Jun Jiang. Clinical research evidence of non-radical resection for breast cancer[J/OL]. Chinese Journal of Breast Disease(Electronic Edition), 2025, 19(02): 65-69.

随着对乳腺癌生物学行为研究的不断深入,临床系统治疗手段的持续完善及患者对生活质量的更高追求,乳腺癌手术呈现出“降阶治疗”的趋势。非根治性手术理念的提出为特定的乳腺癌患者群体提供更多的治疗选择,在保证患者预后的大前提下,减少手术创伤,实现乳腺外观和功能的双重保护。本文从乳腺和区域淋巴结2个维度,梳理现有临床研究,分析乳腺癌非根治性手术的可行性,从实践和技术的角度出发,提出基于特定患者群体的新外科分类模式,为乳腺癌患者提供更为精准的个性化治疗方案。

With the in-depth researches on the biological behaviors of breast cancer, continuous improvement of clinical systematic treatment and patients' higher requirement for quality of life,breast cancer surgery shows a trend of de-escalation treatment. The non-radical resection is proposed, aiming to provide more treatment options for certain patient groups. Under the premise of ensuring the prognosis, it can reduce surgical trauma and achive the dual protection of the appearance and function of the breast. This article systematically reviews the existing clinical studies and analyzes the feasibility of non-radical surgery for breast cancer in two dimensions: breast parenchyma and regional lymph nodes. From practical and technical perspectives, we propose a novel surgical classification model tailored to specific patient groups, in order to provide more precise and personalized treatment schemes for breast cancer patients.

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