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中华普外科手术学杂志(电子版) ›› 2023, Vol. 17 ›› Issue (03) : 250 -254. doi: 10.3877/cma.j.issn.1674-3946.2023.03.004

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初诊Ⅳ期乳腺癌诊疗临床实践指南解读
王嘉1, 郭宝良2, 王杉1, 张殿龙3, 王弥迦1, 周天阳1, 张建国2,(), 金锋4,()   
  1. 1. 116000 辽宁大连,大连医科大学附属第二医院乳腺外科
    2. 150086 哈尔滨,哈尔滨医科大学附属第二医院乳腺外科
    3. 116000 辽宁大连,大连大学附属中山医院乳腺外科
    4. 110001 沈阳,中国医科大学附属第一医院乳腺外科
  • 收稿日期:2023-01-29 出版日期:2023-06-26
  • 通信作者: 张建国, 金锋

Interpretation of clinical practice guidelines for diagnosis and treatment of de novo stage Ⅳ breast cancer

Jia Wang1, Baoliang Guo2, Shan Wang1, Dianlong Zhang3, Mijia Wang1, Tianyang Zhou1, Jianguo Zhang2,(), Feng Jin4,()   

  1. 1. Department of Breast Surgery,The Second Hospital of Dalian Medical University,Dalian Liaoning Province 116000,China
    2. Department of Breast Surgery,The Second Affiliated Hospital of Harbin Medical University,Harbin Heilongjiang Province 150086,China
    3. Department of Thyroid and Breast Surgery,The Affiliated Zhongshan Hospital of Dalian University,Dalian Liaoning Province 116000,China
    4. Department of Breast Surgery,The First Affiliated Hospital of China Medical University,Shenyang Liaoning Province 110001,China
  • Received:2023-01-29 Published:2023-06-26
  • Corresponding author: Jianguo Zhang, Feng Jin
  • Supported by:
    Youth Project of National Natural Science Foundation(81602309); Key project of Liaoning Provincial Department of Science and Technology(20180530075)
引用本文:

王嘉, 郭宝良, 王杉, 张殿龙, 王弥迦, 周天阳, 张建国, 金锋. 初诊Ⅳ期乳腺癌诊疗临床实践指南解读[J/OL]. 中华普外科手术学杂志(电子版), 2023, 17(03): 250-254.

Jia Wang, Baoliang Guo, Shan Wang, Dianlong Zhang, Mijia Wang, Tianyang Zhou, Jianguo Zhang, Feng Jin. Interpretation of clinical practice guidelines for diagnosis and treatment of de novo stage Ⅳ breast cancer[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(03): 250-254.

初诊Ⅳ期乳腺癌的首选治疗为依据分子分型制定的全身系统治疗,得益于乳腺癌新型药物的快速更新迭代和基因检测工具临床应用的普及,初诊Ⅳ期乳腺癌患者生存时间和生活质量得到大幅度改善,有关局部外科处理原则成为临床关注的热点问题。基于此,中华医学会外科学分会乳腺外科学组牵头,对初诊Ⅳ期乳腺癌诊疗过程的关键问题展开讨论并共同制定了《初诊Ⅳ乳腺癌诊疗临床实践指南(2022版)》。

The first choice of treatment for de novo stage Ⅳ breast cancer is systemic therapy based on molecular typing. Thanks to the rapid iteration of new anti-cancer drugs and the popularization of clinical application of genetic testing tools,the survival time and quality of life of patients with de novo stage Ⅳ breast cancer have been greatly improved,and the principles of local surgical treatment have become a hot issue of clinical concern. Based on this,the Chinese Society of Breast Surgery took the lead and conducted a discussion on the key issues in the diagnosis and treatment of de novo stage Ⅳ breast cancer,developed the clinical practice guidelines for diagnosis and treatment of de novo stage Ⅳ breast cancer(2022 edtition).

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