乳腺癌-英文版_.ppt

Breast Cancer;;Anatomy;Anatomy;1. Introduction;;5. Clinical Findings ;;Palpable painless lump Local protrusion Changes in skin and nipple dimple sign Orange-peel sign Nipple retraction and inverted nipple Huge mass and ulceration Eczematoid change over areola or nipple Inflammatory breast cancer ;;Local protrusion;Change in skin-- Delle and dimple sign;Change in skin-- orange-peel sign;Change in nipple-- nipple retraction and inversion; Change in nipple areola-- eczematoid change (Paget’s disease) ;Huge mass and ulceration-- locally advanced carcinoma;Inflammatory breast cancer;5.3. Clinical presentation distal metastasis;Clinical presentation axillary临床表现腋窝;Mammography乳房X线照相术;Mammography ;Diagnosis --biopsy;Meaning Guidance for therapeutic approaches Prediction of recurrence risk Prediction of therapeutic response Staging criteria Primary tumors Number of metastatic lymph nodes Distal metastasis;8. Treatment principle;8.1. Operation methods  (1) radical mastectomy ;(2) Extended radical mastectomy扩大根治术;(3) modified radical mastectomy+ axillary dissection改良根治术+腋窝淋巴结切除;Sentinel lymph node?-SLN前哨淋巴结;SLNB indications适应症;The choice of the tracer示踪剂的选择;The dose and the location ;化学染色剂;染料法SLNB;SLNB the latest data report ;?Evaluation of SLNB SLNB 评价;SLNB positive without ALND or axillaryRadiation therapy SLNB阳性而未进行ALND或辅助放疗;Timing neoadjuvant chemotherapy and SLNB新辅助化疗与SLND的时机;Question of SLNB ? SLNB存在的问题;Adjuvant endocrine therapyHormone receptor evaluation辅助内分泌治疗 激素受体评价 ;