首都医科大学学报 ›› 2016, Vol. 37 ›› Issue (3): 331-335.doi: 10.3969/j.issn.1006-7795.2016.03.015

• 乳腺微创外科 • 上一篇    下一篇

乳腺癌治疗从标准到精准微创

骆成玉   

  1. 首都医科大学附属复兴医院乳腺微创中心, 北京 100038
  • 收稿日期:2016-03-25 出版日期:2016-06-21 发布日期:2016-06-13
  • 通讯作者: 骆成玉 E-mail:luochengyu@163.com
  • 基金资助:
    北京市卫生系统215工程首批高层次卫生技术人才培养计划项目资助(2009-3-67)。

A paradigm shift from standard to precisely minimal invasion in breast cancer.

Luo Chengyu   

  1. Invasive Center, Fuxing Hospital, Capital Medical University, Beijing 100038, China
  • Received:2016-03-25 Online:2016-06-21 Published:2016-06-13
  • Supported by:
    This study was supported by The First High Level Health Technical Personnel Training Plan of Beijing Health System 215 Program(2009-3-67).

摘要: 纵观100余年来乳腺外科的变革过程,手术方式的变化体现了对疾病本质认识的深入和学科的发展。从Halsted经典根治手术到扩大根治性手术的失败,再折返回到保留胸肌的改良根治手术,以致后来的保留乳房手术,这一路的发展无不烙下了乳腺癌外科治疗向微创与功能方向进展的一步步惨痛的印记。乳腺癌外科治疗一直没有停止过"缩小"手术,也永无止境。在这样的背景下,乳腺外科呈现在规范化治疗的基础上追求个体化、微创化、精准化、保护功能、注重形体和心理康复的发展趋势,开创着一个新的治疗时代。

关键词: 乳腺癌, 精准, 微创

Abstract: Throughout the transformation process of breast surgery over 100 years, the change of the operation ways represents the deeper insight to disease essence and the discipline development. From the Halsted classical operation to the failure of expanded radical surgery, returning to retain modified radical surgery with reservation of musculus pectoralis and breast conserving surgery, the improvement ironed the grieved mark in breast cancer surgical treatment towards minimally invasive and functional directions. Breast cancer surgical treatment has not stopped "the reduction" of the surgery, also forever without limits. Under such background, breast surgery presents a development tendency pursuing the individualized, minimally invasive, precise, the functional, the physique and the psychological recovery based on standardized treatment. This is founding a new treatment time.

Key words: breast cancer, precision, minimal invasion

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