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Great Debate: Does Breast-Conserving Surgery with Radiotherapy Offer Better Survival than Mastectomy in Early-Stage Breast Cancer?

作者信息

Douglas Sasha R, Margenthaler Julie A, McGuire Kandace P, Hwang E Shelley

机构信息

Department of Surgery, Duke University, Durham, NC, USA.

Department of Surgery, Washington University, St Louis, MO, USA.

出版信息

Ann Surg Oncol. 2025 Apr 21. doi: 10.1245/s10434-025-17333-6.

DOI:10.1245/s10434-025-17333-6
PMID:40259135
Abstract
摘要

相似文献

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Great Debate: Does Breast-Conserving Surgery with Radiotherapy Offer Better Survival than Mastectomy in Early-Stage Breast Cancer?激烈辩论：在早期乳腺癌中，保乳手术加放疗的生存率是否高于乳房切除术？
Ann Surg Oncol. 2025 Apr 21. doi: 10.1245/s10434-025-17333-6.
2
Effect of breast-conserving surgery plus radiotherapy versus mastectomy on breast cancer-specific survival for early-stage contralateral breast cancer.保乳手术加放疗与乳房切除术对早期对侧乳腺癌患者乳腺癌特异性生存的影响。
Gland Surg. 2021 Oct;10(10):2978-2996. doi: 10.21037/gs-21-413.
3
Overall survival after mastectomy versus breast-conserving surgery with adjuvant radiotherapy for early-stage breast cancer: meta-analysis.早期乳腺癌保乳手术与改良根治术联合术后放疗的总生存比较：Meta 分析。
BJS Open. 2024 May 8;8(3). doi: 10.1093/bjsopen/zrae040.
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10 year survival after breast-conserving surgery plus radiotherapy compared with mastectomy in early breast cancer in the Netherlands: a population-based study.荷兰保乳手术联合放疗与乳房切除术治疗早期乳腺癌的 10 年生存比较：一项基于人群的研究。
Lancet Oncol. 2016 Aug;17(8):1158-1170. doi: 10.1016/S1470-2045(16)30067-5. Epub 2016 Jun 22.
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Survival after standard or oncoplastic breast-conserving surgery versus mastectomy for breast cancer.标准或肿瘤整形保乳手术与乳腺癌乳房切除术的术后生存率。
BJS Open. 2025 Mar 4;9(2). doi: 10.1093/bjsopen/zraf002.
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Adjuvant radiation therapy for older women with early-stage breast cancer: a propensity-matched SEER analysis.早期乳腺癌老年女性的辅助放疗：基于 SEER 的倾向匹配分析。
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Comparison of recurrence and survival rates after breast-conserving therapy and mastectomy in young women with breast cancer.年轻乳腺癌女性保乳治疗与乳房切除术后复发率和生存率的比较。
Curr Oncol. 2013 Dec;20(6):e593-601. doi: 10.3747/co.20.1543.
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Breast conserving surgery (BCS) with adjuvant radiation therapy showed improved prognosis compared with mastectomy for early staged triple negative breast cancer patients Running title: BCS had better prognosis than mastectomy for early TNBC patients.保乳手术（BCS）联合辅助放疗与改良根治术相比，可为早期三阴性乳腺癌患者带来更好的预后。
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Predictors of surgery choices in women with early-stage breast cancer in China: a retrospective study.中国早期乳腺癌女性手术选择的预测因素：一项回顾性研究。
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Comparison of Survival Outcomes of Breast-Conserving Surgery Plus Radiotherapy with Mastectomy in Early Breast Cancer Patients: Less Is More?早期乳腺癌患者保乳手术加放疗与乳房切除术生存结果的比较：少即是多？
Cancers (Basel). 2025 Feb 9;17(4):591. doi: 10.3390/cancers17040591.

本文引用的文献

1
Comparing Costs: Does Extreme Oncoplastic Breast-Conserving Surgery Confer a Cost Benefit When Compared with Mastectomy and Reconstruction?比较成本：与乳房切除术和重建相比，极端肿瘤整形保乳手术是否具有成本效益？
Ann Surg Oncol. 2024 Oct;31(11):7463-7470. doi: 10.1245/s10434-024-15711-0. Epub 2024 Jul 10.
2
Effects of Breast-Conserving Surgery and Mastectomy on the Survival of Patients with Early-Stage (T1-2N0-1M0) HER2-Positive Breast Cancer: A Propensity Score-Matched Analysis.保乳手术与乳房切除术对早期（T1-2N0-1M0）HER2 阳性乳腺癌患者生存的影响：倾向评分匹配分析。
Oncol Res Treat. 2023;46(12):511-519. doi: 10.1159/000534856. Epub 2023 Nov 6.
3
Implementing shared decision making for early-stage breast cancer treatment using a coproduction learning collaborative: the SHAIR Collaborative protocol.
利用共同生产学习协作方式对早期乳腺癌治疗实施共同决策：SHAIR协作方案
Implement Sci Commun. 2023 Jul 14;4(1):79. doi: 10.1186/s43058-023-00453-z.
4
Patient-reported Quality of Life After Breast-conserving Surgery With Radiotherapy Versus Mastectomy and Reconstruction.保乳手术联合放疗与乳房切除术和重建术后患者报告的生活质量。
Ann Surg. 2023 Nov 1;278(5):e1096-e1102. doi: 10.1097/SLA.0000000000005920. Epub 2023 May 26.
5
Local Recurrence After Breast-Conserving Therapy in Patients With Multiple Ipsilateral Breast Cancer: Results From ACOSOG Z11102 (Alliance).多灶性同侧乳腺癌患者保乳治疗后的局部复发：ACOSOG Z11102（Alliance）研究结果。
J Clin Oncol. 2023 Jun 10;41(17):3184-3193. doi: 10.1200/JCO.22.02553. Epub 2023 Mar 28.
6
Multifocal/multicentric breast cancer: Does each focus matter?多灶/多中心性乳腺癌：每个病灶都重要吗？
Cancer Med. 2023 Apr;12(7):8815-8824. doi: 10.1002/cam4.5626. Epub 2023 Feb 3.
7
Rates of Bilateral Mastectomy in Patients With Early-Stage Breast Cancer.早期乳腺癌患者双侧乳房切除术的发生率。
JAMA Netw Open. 2023 Jan 3;6(1):e2251348. doi: 10.1001/jamanetworkopen.2022.51348.
8
Risk factors for persistent pain after breast cancer surgery: a multicentre prospective cohort study.乳腺癌手术后持续性疼痛的风险因素：一项多中心前瞻性队列研究。
Anaesthesia. 2023 Apr;78(4):432-441. doi: 10.1111/anae.15958. Epub 2023 Jan 13.
9
Local/Regional Recurrence Rates After Breast-Conserving Therapy in Patients Enrolled in Legacy Trials of the Alliance for Clinical Trials in Oncology (AFT-01).在肿瘤临床联盟（AFT-01）的传统试验中入组的患者接受保乳治疗后的局部/区域性复发率。
Ann Surg. 2023 May 1;277(5):841-845. doi: 10.1097/SLA.0000000000005776. Epub 2022 Dec 14.
10
Comparison of Outcomes Between BRCA Pathogenic Variant Carriers Undergoing Breast-Conserving Surgery Versus Mastectomy.BRCA 致病性变异携带者行保乳手术与乳房切除术的结局比较。
Ann Surg Oncol. 2022 Aug;29(8):4706-4713. doi: 10.1245/s10434-022-11756-1. Epub 2022 May 18.