乳腺癌治疗的发展 2010-2023年
Courtney N Day1, Elizabeth B Habermann2, Judy C Boughey3
1Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
Annals of surgical oncology
|January 20, 2026
概括
最近的乳腺癌治疗显示了下淋巴结解剖 (ALND) 的下降以及乳房切除重建和新辅助疗法的使用增加,特别是在HER2+和ER-/HER2-亚型.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 乳腺癌研究研究 乳腺癌研究
背景情况:
- 随着向治疗的发展,乳腺癌的治疗格局正在变化.
- 转向降低乳腺癌手术干预的升级.
研究的目的:
- 从2010年到2023年,分析乳腺癌治疗方式的最新趋势.
- 描述手术程序,全身疗法和辐射使用的变化.
主要方法:
- 利用国家癌症数据库对临床阶段I-III乳腺癌患者 (2010-2023) 的数据.
- 雇佣了科克兰-阿米塔奇趋势测试和卡普兰-梅尔生存分析.
- 分析了手术程序,新辅助疗法和辐射使用的趋势.
主要成果:
- 乳腺切除率下降,而重建和逆侧预防性乳腺切除率增加.
- 亚淋巴结解剖率 (ALND) 显著下降,在早期疾病中遗漏率增加.
- 新辅助化疗的使用急剧增加,特别是在HER2+和ER-/HER2亚型;新辅助内分泌疗法也增加.
- 在乳腺保护手术 (BCS) 中,放射治疗的使用量减少.
结论:
- 乳腺癌的治疗已经进化,以减少ALND和增加乳腺切除术重建为标志.
- 新辅助系统治疗的显著增加,特别是在攻击性亚型.
- 治疗降级和个性化治疗方法是关键趋势.
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