Guidelines for clinical diagnosis and treatment of advanced breast cancer in China (2022 Edition)

Title: Guidelines for clinical diagnosis and treatment of advanced breast cancer in China (2022 Edition)
Edition: Updated
Classification: Standard guideline
Field: Comprehensive guideline
Countries and regions: China
Guidelines users: Clinicians interested in oncology
Evidence classification method: IA: Evidence from at least one large, high-quality randomized controlled clinical trial, or high-quality meta-analysis, with substantial clinical benefit IB: Evidence from at least one large, high-quality randomized controlled clinical trial, with clinical benefit IIA: Evidence from randomized controlled clinical trials or meta-analyses with suspicion of bias, with clinical benefit IIB: Evidence from randomized controlled clinical trials or meta-analyses with suspicion of bias, with limited clinical benefit
Development unit: Breast Cancer Expert Committee of National Cancer Quality Control Center
Registration time: 2022-08-15
Registration number: PREPARE-2022CN506
Purpose of the guideline: Breast cancer is the most common malignant tumor among women all over the world. In 2016,there were about 306,000 new cases of breast cancer in Chinese female,with more than 70,000 deaths. Of the new cases of breast cancer each year,about 3% to 10% of patients have distant metastasis at the time of diagnosis. Of the early-stage patients,about 30% developed into advanced breast cancer. The 5-years survival rate of advanced breast cancer was only 20%,and the median overall survival was 2-3 years. Although advanced breast cancer is difficult to cure at present,we can alleviate the clinical symptoms of patients,improve their quality of life and further prolong their survival time by applying new therapeutic drugs and optimizing treatment models,to achieve the purpose of long-term survival with tumor. It is very important for patients with advanced breast cancer to choose the reasonable treatment plan,and because of the lack of standard recommendation for the treatment of advanced breast cancer after the first- and second-line rescue therapy,according to the research progress of breast cancer at home and abroad and the update of real-world clinical data,the Chinese expert group analyzed,discussed and summarized the relevant research data,updated the diagnosis,treatment and prognosis of inoperable locally advanced and recurrent or metastatic breast cancer on the basis of version 2020,and formulated the “Guidelines for clinical diagnosis and treatment of advanced breast cancer in China(2022 Edition)