乳腺癌腋窝管理的降阶梯趋势:循证进展与未来方向OA

Axillary management in breast cancer is shifting from traditional extensive dissection toward a precision de-escalation approach that emphasizes risk stratification and reduced intervention.With advances in systemic therapy and imaging assessment,minimizing or even omitting certain axillary surgeries and radiotherapy procedures has become a feasible strategy,effectively lowering upper-limb complications without compromising oncologic safety.Future efforts should integrate multi-modal evaluation and individualized predictive models to refine patient selection and clinical decision-making,and further guide the development of more precise and less invasive axillary management pathways.