多灶性/多中心性乳腺癌研究进展

Research Progress of Multifocal/Multicentric Breast Cancer

  • 摘要: 影像学技术的进步使得越来越多的多灶性/多中心性乳腺癌(multifocal/multicentric breast cancer, MMBC)在早期被发现。传统观念认为,MMBC比单灶性乳腺癌(unifocal breast cancer, UBC)预后更差,应积极升级治疗手段。近年来,随着医疗水平的提升,MMBC患者的诊断、个体化治疗、接受保乳手术的安全性等焦点问题需重新被审视。本文将从MMBC流行病学特征、术前影像学评估、病理异质性与分子标志物、手术方式等多方面展开论述,以期加深临床认知。

     

    Abstract: Advances in imaging techniques have allowed an increasing number of multifocal/multicentric breast cancers (MMBC) to be detected at an early stage. Traditionally, MMBC has been considered to have a worse prognosis than unifocal breast cancer(UBC) and should be treated with escalation therapy. With the advancement of medical technology in recent years, the diagnosis, individualized treatment strategies, and the safety of breast-conserving surgery for MMBC need to be re-examined. This paper reviews the epidemiologic features, preoperative imaging assessment, pathological heterogeneity, molecular markers, and surgical approaches of MMBC, so as to deepen the knowledge of clinicians.

     

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