王永胜乳腺癌外科热点问题探讨.pptVIP

* * * * * * * * * Individualizing Loco-Regional Therapy with NACAchievements and Promises Downsizing of the primary tumour Inoperable → Operable Mastectomy → Breast conserving surgery Breast conserving surgery → Better cosmesis In situ monitoring of the efficacy of systemic treatment to improve survival Promises Downstaging of the axillary lymph nodes Avoidance of ALND Reduction the extent of L-R XRT Potential for eliminating L-R therapy altogether Achievements 三大前瞻性研究数据汇总 ACOSOG Z1071 FN SNAC SENTINA 初始临床腋淋巴结状况cN cN1 only cN1-2 cN1 only 活检证实 腋淋巴结转移 YES YES NO Only 25% FNA+ NAC后腋淋巴结临床转阴性 NOT