Zhou Zhi-Rui, Yang Zhao-Zhi, Yu Xiao-Li, Guo Xiao-Mao
Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai 200032, China;; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China.
J Thorac Dis. 2016 Nov;8(11):3427-3430. doi: 10.21037/jtd.2016.11.12.
Postoperative radiotherapy plays an important role in the multidisciplinary treatment of breast cancer. However, it remains a controversy whether it is necessary to carry out prophylactic internal mammary nodes irradiation (IMNI). This review will focus on this topic. In our opinion, the total risk of relapse should be considered during the decision-making on IMNI; in particular, IMNI is recommended for high-risk patients whose tumor is located at the central/medial area or in patients with positive axillary lymph nodes.
术后放疗在乳腺癌多学科治疗中发挥着重要作用。然而，是否有必要进行预防性内乳淋巴结照射（IMNI）仍存在争议。本综述将聚焦于这一主题。我们认为，在决定是否进行IMNI时应考虑复发的总体风险；特别是，对于肿瘤位于中央/内侧区域的高危患者或腋窝淋巴结阳性的患者，建议进行IMNI。
