多灶性和多中心性乳腺癌，是时候重新思考了吗？
Multifocal and multicentric breast cancer, is it time to think again?
作者信息
Masannat Y A, Agrawal A, Maraqa L, Fuller M, Down S K, Tang Ssk, Pang D, Kontos M, Romics L, Heys S D
机构信息
Aberdeen Royal Infirmary, NHS Grampian, Aberdeen, UK.
University of Aberdeen, School of Medicine, Medical Science and Nutrition, Aberdeen, UK.
出版信息
Ann R Coll Surg Engl. 2020 Jan;102(1):62-66. doi: 10.1308/rcsann.2019.0109. Epub 2019 Sep 6.
Abstract
Multifocal multicentric breast cancer has traditionally been considered a contraindication to breast conserving surgery because of concerns regarding locoregional control and risk of disease recurrence. However, the evidence supporting this practice is limited. Increasingly, many breast surgeons are advocating breast conservation in selected cases. This short narrative review summarises current evidence on the role of surgery in multifocal multicentric breast cancer and shows that when technically feasible the option of breast conservation is oncologically safe.
摘要
多灶性多中心性乳腺癌传统上被认为是保乳手术的禁忌证，因为担心局部区域控制和疾病复发风险。然而，支持这种做法的证据有限。越来越多的乳腺外科医生主张在某些特定病例中进行保乳手术。这篇简短的叙述性综述总结了目前关于手术在多灶性多中心性乳腺癌中作用的证据，并表明在技术可行的情况下，保乳选择在肿瘤学上是安全的。
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