NCCN Guidelines Update: Evolving Radiation Therapy Recommendations for Breast Cancer
NCCN Guidelines Update: Evolving Radiation Therapy Recommendations for Breast Cancer
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DOI：
10.6004/jnccn.2017.0072
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发表时间：
2017-05-01
影响因子：
13.4
通讯作者：
Salerno, Kilian E.
中科院分区：
文献类型：
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作者：
Salerno, Kilian E.
在乳腺癌NCCN肿瘤学临床实践指南（NCCN指南）中，保乳手术后全乳放疗的辅助放疗选择中，首选大分割。对于加速局部乳房照射的使用，NCCN 指南采用了美国放射肿瘤学会使用的“适用性”的最新定义。区域淋巴结照射适用于保乳手术或乳房切除术后，对于≥ 4 个阳性淋巴结的女性，对于 1 至 3 个阳性淋巴结应强烈考虑，并选择被认为复发风险高的淋巴结阴性患者。
In the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) for Breast Cancer, among adjuvant radiotherapy options for whole breast irradiation after breast-conserving surgery, hypofractionation is preferred. For the use of accelerated partial-breast irradiation, the NCCN Guidelines have adopted the updated definition of "suitability" used by the American Society for Radiation Oncology. Regional nodal irradiation is indicated either in the setting of breast-conserving surgery or after mastectomy-for women with >= 4 positive nodes and should be strongly considered for 1 to 3 positive lymph nodes and select patients with node-negative disease deemed at high risk for recurrence.