外科理论与实践2026，Vol.31Issue(3)：191-195,5.DOI:10.16139/j.1007-9610.2026.03.03
乳腺癌腋窝管理的降阶梯趋势:循证进展与未来方向
De-escalation trends in axillary management for breast cancer:evidence-based progress and future directions
摘要
Abstract
Axillary management in breast cancer is shifting from traditional extensive dissection toward a precision de-escalation approach that emphasizes risk stratification and reduced intervention.With advances in systemic therapy and imaging assessment,minimizing or even omitting certain axillary surgeries and radiotherapy procedures has become a feasible strategy,effectively lowering upper-limb complications without compromising oncologic safety.Future efforts should integrate multi-modal evaluation and individualized predictive models to refine patient selection and clinical decision-making,and further guide the development of more precise and less invasive axillary management pathways.关键词
乳腺癌/精准降阶梯/前哨淋巴结活检/腋窝淋巴结清扫Key words
Breast cancer/Precision de-escalation/Sentinel lymph node biopsy(SLNB)/Axillary lymph node dissection(ALND)分类
医药卫生引用本文复制引用
商庆尧,董旭彬,岳家贤,王昕..乳腺癌腋窝管理的降阶梯趋势:循证进展与未来方向[J].外科理论与实践,2026,31(3):191-195,5.基金项目
北京市自然科学基金杰出青年科学基金项目(JQ23032) （JQ23032）
国家癌症中心攀登基金(NCC202416004) （NCC202416004）
首都卫生发展科研专项(2024-2-4025) （2024-2-4025）
