中国男性乳腺癌临床诊治实践指南(2023版)

标题: 中国男性乳腺癌临床诊治实践指南(2023版)
title: Clinical practice China guidelines for male breast cancer (2023 edition)
版本: 原创版
version: Original
分类: 标准指南
classification: Standard guideline
领域: 诊疗
field: Diagnosis and Treatment
国家和地区: 中国
Country and region: China
指南使用者: 乳腺外科医师
Guide users: breast surgeon
证据分级方法: GRADE标准
Evidence grading method: Grading of Recommendations Assessment, Development and Evaluation
制定单位: 中华医学会外科学分会乳腺外科学组
Formulating unit: Chinese Society of Breast Surgery, Chinese Society of Surgery, Chinese Medical Association
注册时间: 2024-02-25
Registration time:
注册编号: PREPARE-2023CN024
Registration number:
指南制订的目的: 男性乳腺癌(Male breast cancer,MBC)是一种罕见的恶性肿瘤,文献报道在新发乳腺癌中占比不到1%,中华医学会外科学分会组织的一项多中心研究报告中国男性乳腺癌约占总体乳腺癌群体0.31%。鉴于其低发病率,针对MBC的随机对照研究很少,主要以小样本回顾性研究为主,目前MBC的诊治原则多从女性乳腺癌的相关研究中推断而来,但MBC与女性乳腺癌的生物学特性存在明显差异,为提高我国MBC诊疗流程的规范性和科学性,本指南在复习国内外文献的基础上,参照 GRADE(Grading of Recommendations Assessment, Development and Evaluation)标准对MBC诊断与治疗相关临床问题进行了证据质量评价,并结合中国乳腺外科临床实践的可及性,制定MBC临床诊治实践指南, 以期为国内乳腺专科医师临床工作提供参考。
Purpose of the guideline: Male breast cancer (MBC) is a rare malignancy, accounting for less than 1% of new breast cancers reported in the literature, and a multicenter study organized by the Chinese Society for Surgery reported that male breast cancer accounts for approximately 0.31% of the overall breast cancer population in China. In view of its low incidence, there are few randomized controlled studies on MBC, mainly retrospective studies with small samples, and the current principles of diagnosis and treatment of MBC are mostly extrapolated from studies related to female breast cancer, but there are obvious differences in the biological characteristics of MBC and female breast cancer, so in order to improve the standardization and scientificity of the diagnosis and treatment process of MBC in China, this guideline is based on a review of the domestic and international literature, with reference to In order to improve the standardization and scientificity of MBC diagnosis and treatment in China, this guideline is based on a review of the domestic and international literature and a quality of evidence evaluation of clinical issues related to MBC diagnosis and treatment with reference to the GRADE (Grading of Recommendations Assessment, Development and Evaluation) standard, and the accessibility of clinical practice in Chinese breast surgery. The study was conducted to evaluate the quality of evidence on clinical issues related to the diagnosis and treatment of MBC.