关于乳腺癌内分泌治疗的中国专家共识 (2026年版)
Yang Yuan1, Yongmei Yin2, Shu Wang3
1Senior Department of Oncology, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
概括
更新的2026年共识为激素受体阳性乳腺癌的内分泌治疗 (ET) 提供了指导,整合了早期和晚期的新数据. 它澄清了新辅助ET的适用性和辅助性循环素依赖性激酶4/6抑制剂 (CDK4/6i) 的使用.
科学领域:
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
- 临床实践指南 临床实践指南
背景情况:
- 内分泌疗法 (ET) 是激素受体 (HR) 阳性乳腺癌的基石治疗.
- 中国乳腺癌内分泌疗法共识小组根据最近的临床研究和实践经验,更新了2023年共识.
研究的目的:
- 为HR阳性乳腺癌的标准化和个性化治疗提供最新的临床指导.
- 将最新的研究数据和专家经验纳入临床实践建议.
主要方法:
- 成立了一个由医疗瘤学家,乳腺外科医生和病理学家组成的专家小组.
- 在主要的英语数据库中进行了全面的文献搜索,截至2025年9月30日.
- 使用中国临床瘤学会 (CSCO) 准则框架评估了证据质量和建议强度.
主要成果:
- 2026年的共识包括早期和晚期HR阳性乳腺癌的最新数据.
- 它定义了新辅助ET的资格,并澄清了辅助性循环林依赖性激酶4/6抑制剂 (CDK4/6i) 治疗的使用.
- 建议优化第一线ET加CDK4/6i治疗的治疗策略,以及晚期疾病和CDK4/6i后的治疗方案,以及对遗传检测的指导.
结论:
- 这份更新的共识为标准化应用ET提供了临床指导.
- 它旨在为HR阳性乳腺癌患者提供精确和个性化的治疗策略.
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