腹管理:有多少是太多?
Nicci Owusu-Brackett1, Benjin Facer2, Dionisia Quiroga3
1Division of Surgical Oncology, Department of Surgery, The Ohio State University Wexner Medical Center and James Cancer Hospital, Columbus, OH, USA.
Current oncology reports
|May 15, 2024
概括
在乳腺癌管理中,股剖析越来越多地被遗漏. 目前的证据支持在有限的阳性淋巴结或经过新辅助化疗后的选择患者中避免使用它,有利于更少的侵入性方法.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 乳腺癌管理 乳腺癌管理
背景情况:
- 乳腺癌的治疗在过去的30年里有了显著的进化.
- 常规的下清除正在被更少侵入性的外科手术技术所取代.
研究的目的:
- 审查当前对乳腺癌下巴的治疗方法.
- 检查证据,塑造最近的变化,在股分级的做法.
主要方法:
- 在过去的三十年里,对突出证据的审查.
- 分析当前的实践争议和正在进行的临床试验.
主要成果:
- 在手术后患有临床结节阴性关节和1-2阳性哨兵淋巴结的患者,关节剖析不再适用.
- 现在可以在特定患者中省略骨抽样,包括那些经过新辅助化疗后临床结节阴性骨患者.
结论:
- 乳腺癌的关管理已经从例行剖析转向选择性遗漏.
- 目前存在争议,特别是对于老年患者和接受新辅助疗法的患者,正在进行试验以进一步完善指导方针.
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