摘要
乳腺导管原位癌(DCIS)是乳腺浸润性导管癌的前期病变,近几十年来其发病率一直在上升。目前对于DCIS患者具体的手术方式并没有统一的标准。尽管大量证据证明保乳术和全乳切除术对于DCIS患者术后的复发率相似,但是目前DCIS的手术治疗依旧应用全乳切除术较多。而且对于保乳术切缘的宽度大多数学者推崇2mm的阴性切缘宽度,但尚未达成共识。在手术治疗过程中,根据患者病情,可考虑行前哨淋巴结活检术以避免腋窝淋巴结清扫造成较大的手术创伤。
Ductal carcinoma in situ(DCIS)is a pre-invasive stage of breast cancer,but not all DCIS will progress to invasive breast cancer.Since the introduction of mammographic screening programmes,the incidence of DCIS has shown a dramatic increase.At present,there is no uniform standard for the specific surgical methods of DCIS patients.Although there is ample evidence that breast-conserving surgery and total mastectomy have similar postoperative recurrence rates for DCIS patients,however,the current surgical treatment of DCIS is still using mastectomy more.For the width of the margin of breast conservation surgery,most scholars admire the width of the 2mm negative margin,but no consensus has been reached.According to the patient's condition,sentinel lymph node biopsy may be considered to avoid a larger surgical trauma caused by axillary lymph node dissection in the course of surgical treatment.
作者
耿丹
周涛
GENG Dan;ZHOU Tao(Fourth Hospital of Hebei Medical University,Shijiazhuang 050010,China)
出处
《医学与哲学（B）》
2018年第7期54-57,共4页
Medicine & Philosophy(B)
关键词
导管原位癌
全乳切除术
保乳术
单纯肿物(区段)切除术
前哨淋巴结活检术
ductal carcinoma in situ
total mastectomy
breast-conserving surgery
simple tumor(segment)resection
sentinel lymph node biopsy
