最近审阅: 24 十月 2020
最近更新: 19 三月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 乳腺癌家族史

其他诊断因素

  • 乳头溢液
  • 乳房肿块
  • 乳房湿疹样皮疹
  • 溃疡

危险因素

  • 乳腺癌家族史
  • 既往活检病理显示良性乳腺疾病
  • 遗传性乳腺癌卵巢癌综合征
  • Li-Fraumeni 综合征
  • Cowden 综合征
  • 遗传性弥漫型胃癌(hereditary diffuse gastric cancer, HDGC)
  • Peutz-Jeghers 综合征
  • 克兰费尔特综合征
  • 绝经年龄较大
  • 首次足月妊娠时年龄较大
  • 未育
  • 缺乏体力活动
  • 维生素 A 的摄入量高
  • 共济失调毛细血管扩张

诊断性检查

需考虑的检查

  • 活检(细针或粗针)
  • 立体定向活检
  • 前哨淋巴结活检(sentinel lymph node biopsy, SLNB)
  • 超声引导下活检
  • 磁共振成像(MRI)
  • 超声检查
  • 激素受体测定
  • 基因检测
更多 需考虑的检查

治疗流程

撰稿人

Edward R. Sauter

Medical Officer

Breast and Gynecologic Cancer Working Group

Division of Cancer Prevention

National Cancer Institute

Bethesda

MD

利益声明

ERS is an author of a reference cited in this topic.

Dr Edward R. Sauter would like to gratefully acknowledge Dr Rachel L. Ruhlen, a previous contributor to this topic.

利益声明

RLR declares that she has no competing interests.

同行评议者展开全部内容

Radiologist

Radboud University Nijmegen Medical Centre

Nijmegen

The Netherlands

利益声明

CB is an author of a number of references cited in this topic.

Assistant in the Division of Medical Oncology

European Institute of Oncology

Milan

Italy

利益声明

AB declares that she has no competing interests.

Associate Professor in Epidemiology and Medical Oncology

Johns Hopkins School of Medicine and Bloomberg School of Public Health

Baltimore

MD

利益声明

KV is an author of a number of references cited in this topic.

Consultant Surgeon and Honorary Senior Lecturer

Edinburgh Breast Unit

Western General Hospital

Edinburgh

UK

利益声明

GTN is a principal investigator for the IBIS-II trial, and is an author of a guideline cited in this topic.

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