흉부종양   

유방암의 치료

암이란
2021-07-25
조회수 1168

유방암의 치료 

(출처 : http://rad.desk.nl/en/p4e2c04fd5a96f/breast-cancer-staging-and-treatment.html)


DCIS/ LBIS (상피내암)


치료 가이드라인

DCIS : Ductal Carcinoma In Situ


BCT with lumpectomy ± RT. : 유방보존술 + 방사선치료

RT generally indicated for all patients to reduce LR, but some patients may have small absolute benefit and may choose to omit RT : 대부분 수술 후 방사선치료를 시행하나 아래일부 경우는 방사선치료를 생략할수도 있다

[e.g., older women, with small (<0.5 cm), unicentric, low-grade tumors excised with wide (³1 cm) negative margins].

Alternative is total mastectomy (TM) with or without SLN bx. : 유방 전체절제술

TM indicated for diffuse malignant microcalcifications, multicentric disease, persistently +margins, or patient desire. Consider adjuvant tamoxifen for ER+ tumors LCIS J Lifelong close observation ± tamoxifen for risk reduction (decrease invasive cancer rate by 56%). If young and strong FH, diffuse disease, or genetic predisposition, consider prophylactic bilateral mastectomy J DCIS treatment is individualized based on clinical a



[방사선치료]





[항암제/호르몬치료]



[상피내암  DCIS 의 치료]



[침윤성 암의 Localized breast cancer의 치료]











[유방의 주변 림프절들]




[유방 보존술 : Breast Conservign Surgery]



[유방 보존 수술 후 추가치료 결정 기준]





[유방 전체 절제술의 종류와 절제범위]




[감시림프절 절제와 방사선치료 ]













2 0