▣《中●痛意◆嘉》2022年第32卷第9期836欢迎关注本刊公众号CHINA ONCOLOGY 2022 Vol.32 No.9·指南与共识·乳腺肿瘤整形与乳房重建专家共识(2022年版)中国抗癌协会乳腺癌专业委员会，中国医师协会外科医师分会乳腺外科医师委员会，上海市抗癌协会乳腺癌专业委员会[摘要]随者乳腺肿瘤整形与乳房重建在国内新的临床应用趋势，更鉴于新的循证医学数据不断累积，中国抗癌协会乳腺癌专业委员会召集外科、整形、放疗、内科、病理等多学科专家，在《乳腺肿瘤整形与乳房重建专家共识(2018年版)》的基础上共同商讨制定了《乳腺肿瘤整形与乳房重建专家共识(2022年版)》，2022年版新增了腔镜乳房重建、胸肌前乳房重建及乳房重建的个案管理等内容，并将初版的保留乳头乳晕的全乳切除章节更名为保守性全乳切除，并做了大量内容补充及更新。共识也对胸肌前乳房重建、游离腹壁下动脉穿支皮瓣(deep inferior epigastric artery perforator flap,DlEP）手术等临床热点进行了详尽的阐述。相信本次更新会给各层级医院提高乳腺肿瘤整形及乳房重建临床水平，提升治疗规范化，优化治疗结局助力，最终提高患者满意度。[关键词]乳腺癌；肿瘤整形保乳；乳房重建；专家共识D0L:10.19401j.cmki.1007-3639.2022.09.011中图分类号：R737.9文献标志码：A文章编号：1007-36392022)09-0836-89Expert consensus on oncoplastic surgery of breast tumor and breast reconstruction(2022 edition)Committee ofBreast Cancer Society,Chinese Anti-Cancer Association;Breast Surgeons Committee of Surgeons Branch,ChineseMedical Doctor Association:Committee of Breast Cancer Society.Shanghai Anti-Cancer AssociationCorrespondence to:WU Jiong,E-mail:wujiong1122@vip.sina.com.[Abstract With the new trend of oncoplastic surgery and breast reconstruction in China and the emergence of new evidence-based medical data,expert of Chinese Anti-Cancer Association,Committee of Breast Cancer Society convened domestic clinicalexperts in the field of breast cancer treatment,including breast surgeons,plastic surgeons,oncologist,radiologist and pathologist,who jointly discussed and formulated the "expert consensus on oncoplastic surgery of breast tumor and breast reconstruction (2022edition)"on the basis of the 2018 edition.In the 2022 version,endoscopic breast reconstruction,prepectoral breast reconstructionand case management of breast reconstruction were added.Besides,the original nipple-sparing mastectomy chapter was replacedby conservative mastectomy.The consensus also elaborated the prepectoral breast reconstruction and deep inferior epigastric arteryperforator flap (DIEP)surgery.It is believed that this update will help hospitals at all levels to improve the ability of oncoplasticsurgery and breast reconstruction,improve the standardization of treatment,optimize the treatment outcome,and ultimately improvepatient satisfaction.Key words Breast cancer;Oncoplastic surgery;Breast reconstruction;Expert consensus1序言综合治疗水平的提高和乳腺外科的发展，结合整外科手术是乳腺癌综合治疗中的主要方法，形外科的理念和手段，在保证肿瘤安全性的前提但是局部治疗的彻底性和患者乳房外形的完整下，对患者乳房进行整复甚至美容手术，成为乳性、美观度往往不可兼得。近年来，随着乳腺癌腺外科领域重要的发展方向小。越来越多的循通信作者：吴炅，博士，教授，博士研究生导师，主任医师，复旦大学附属肿瘤医院副院长，E-mai:wujiong1122@vip.sina.com。
