术前系统治疗的指南图文.ppt

NCCN Guidelines Version 3.2014 Preoperative Systemic Therapy Guideline of breast-conserving therapy Absolute: Radiation therapy during pregnancy（注：邻近分娩时，可先期手术，将放射治疗延迟至分娩以后时才考虑保乳 ） Diffuse suspicious or malignant-appearing microcalcifications（弥漫可疑/癌性微钙化灶） Widespread disease that cannot be incorporated by local excision through a single incision that achieves negative margins with a satisfactory cosmetic result（注：多灶、多中心为禁忌） Positive pathologic margin Contraindications for breast-conserving therapy requiring radiation therapy include: Relative: Prior radiation therapy to the chest wall or breast