Strategies of surgical and comprehensive management of breast cancer patients with local regional recurrence
10.3760/cma.j.issn.0529-5815.2019.02.004
- VernacularTitle: 乳腺癌局部区域复发的外科和综合诊治策略
- Author:
Xiaosong CHEN
1
;
Kunwei SHEN
Author Information
1. Comprehensive Breast Health Center, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
- Publication Type:Journal Article
- Keywords:
Breast neoplasms;
Neoplasm recurrence, local
- From:
Chinese Journal of Surgery
2019;57(2):92-96
- CountryChina
- Language:Chinese
-
Abstract:
Breast conserving surgery and sentinel lymph node biopsy are widely used in early breast cancer treatment. Right now, the mode of local regional recurrence (LRR) has significantly changed and the rate of ipsilateral breast tumor recurrence and axillary lymph node recurrence are steadily increasing. Due to its relatively low incidence of LRR compared with distant metastasis, inconsistent of pre-recurrence treatment, difficulty in surgical treatment, and few prospective clinical studies, there are rising new challenges for clinical management of LRR patients. In this article, based on new theory of LRR, clinical diagnosis and treatment progress, and our own clinical practice experience for LRR breast cancer patients, we propose that we should make pathological diagnosis and do systemic evaluation for LRR disease, then considering it as a curable disease, and integrating local and systemic comprehensive treatment for LRR patients, thus to improve their disease outcome.