Journal of Shandong University (Health Sciences) ›› 2025, Vol. 63 ›› Issue (1): 10-16.doi: 10.6040/j.issn.1671-7554.0.2024.0289

• Expert Consensus • Previous Articles    

Shandong Province expert consensus on multidisciplinary treatment of breast cancer(2024 edition)

  

  • Published:2025-02-20

Abstract: As the most common malignant tumor occured in women, breast cancer has posed a serious threat to health and brought a heavy burden on medical services. Although individualized treatment has made great progress, there was still a gap in overall survival of breast cancer patients between China and western countries. In addition, the prevalence was higher in Shandong Province. Breast cancer has entered the era of individualised comprehensive treatment. By professional synergy and breaking down professional barriers, multidisciplinary treatment(MDT)mode has been proven to improve survival, enhance quality of life and narrow the gap. Although the concept of MDT has been widely accepted by specialists, there is no standardised process and standard for MDT in breast cancer. Based on the above background, combined with evidence-based medicine, Multidisciplinary Joint Committee on Breast Disease of Shandong Provincial Medical Association, after discussion and voting, formed Shandong Province expert consensus on multidisciplinary treatment of breast cancer(2024 edition), which integrated the relevant studies worldwide and combined with clinical practice. This consensus aims to promote the homogenization level of MDT and to improve the standard of diagnosis and treatment of breast cancer in Shandong Province.

Key words: Shandong Province, Expert consensus, Breast cancer, Multidisciplinary treatment, Comprehensive treatment, Standardization

CLC Number: 

  • R737.9
[1] Bray F, Laversanne M, Sung H, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2024, 74(3): 229-263.
[2] 郑荣寿,陈茹,韩冰峰,等. 2022年中国恶性肿瘤流行情况分析[J].中华肿瘤杂志, 2024, 46(3): 221-231. ZHENG Rongshou, CHEN Ru, HAN Bingfeng, et al. Cancer incidence and mortality in China, 2022[J]. Chinese Journal of Oncology, 2024, 46(3): 221-231.
[3] 楚洁,鹿子龙,刘静,等. 1970—2013年山东省女性乳腺癌死亡时空变化趋势分析[J]. 中华预防医学杂志, 2022, 56(5): 609-613. CHU Jie, LU Zilong, LIU Jing, et al. Spatio-temporal trend of female breast cancer mortality in Shandong Province from 1970 to 2013[J]. Chinese Journal of Preventive Medicine, 2022, 56(5): 609-613.
[4] Fisher B. From halsted to prevention and beyond: advances in the management of breast cancer during the twentieth century[J]. Eur J Cancer, 1999, 35(14): 1963-1973.
[5] Whitehouse M. A policy framework for commissioning cancer services[J]. BMJ, 1995, 310(6992): 1425-1426.
[6] American Society of Clinical Oncology, European Society for Medical Oncology. ASCO-ESMO consensus statement on quality cancer care[J]. Ann Oncol, 2006, 17(7): 1063-1064.
[7] Friedman EL, Chawla N, Morris PT, et al. Assessing the development of multidisciplinary care: experience of the national cancer institute community cancer centers program[J]. J Oncol Pract, 2015, 11(1): e36-e43.
[8] 孙燕.肺癌非手术综合治疗233例分析[J].中国医学科学院学报, 1983, 6(1): 14-18. SUN Yan. Results of multimodality treatment in inoperable lung cancer: report of 233 cases[J]. Acta Academiae Medicinae Sinicae, 1983, 6(1): 14-18.
[9] 中华人民共和国国家卫生和计划生育委员会办公厅,国家中医药管理局办公室. 关于加强肿瘤规范化诊疗管理工作的通知[EB/OL].(2016-03-22)[2024-03-08]. http://www.nhc.gov.cn/yzygj/s3593/201603/53341b6ab1c14963acceb5d1f37540df.shtml.
[10] 中华人民共和国国家卫生健康委员会. 关于开展肿瘤多学科诊疗试点工作的通知[EB/OL].(2018-08-27)[2024-03-08]. http://www.nhc.gov.cn/yzygj/s3594q/201808/0cfe48391dd14876951cf6262e28c062.shtml.
[11] 中华人民共和国国家卫生健康委员会. 国家卫生健康委办公厅关于印发肿瘤专业医疗质量控制指标(2023年版)的通知[EB/OL].(2023-03-13)[2024-03-08]. http://www.nhc.gov.cn/yzygj/s7657/202303/d61a0abf132f4aaf9ebbb6d094764ad2.shtml.
[12] Yang XX, Huang JH, Zhu XP, et al. Compliance with multidisciplinary team recommendations and disease outcomes in early breast cancer patients: an analysis of 4,501 consecutive patients[J]. Breast, 2020, 52: 135-145. doi:10.1016/j.breast.2020.05.008.
[13] Bortot L, Targato G, Noto C, et al. Multidisciplinary team meeting proposal and final therapeutic choice in early breast cancer: is there an agreement?[J]. Front Oncol, 2022, 12: 885992. doi:10.3389/fonc.2022.885992.
[14] Blackwood O, Deb R. Multidisciplinary team approach in breast cancer care: benefits and challenges[J]. Indian J Pathol Microbiol, 2020, 63(Supplement): S105-S112.
[15] 杨犇龙,吴炅. 乳腺癌多学科诊疗标准与规范(2023年版)[J]. 中国癌症杂志, 2023, 33(12): 1188-1203. YANG Benlong, WU Jiong. Standardization of multi disciplinary team treatment for breast cancer(2023 edition)[J]. China Oncology, 2023, 33(12): 1188-1203.
[16] 于胜吉,王锡山. 中国结直肠癌骨转移多学科综合治疗专家共识(2020 版)[J]. 中华结直肠疾病电子杂志, 2020, 9(3): 217-221. YU Shengji, WANG Xishan. Chinese experts consensus on multidisciplinary treatment of bone metastases from colorectal cancer(2020 version)[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2020, 9(3): 217-221.
[17] Gradishar WJ, Moran MS, Abraham J, et al. NCCN guidelines insights: breast cancer, version 4. 2023[J].J Natl Compr Canc Netw, 2023, 21(6): 594-608.
[18] 中国抗癌协会妇科肿瘤专业委员会.妇科恶性肿瘤多学科诊疗中国专家共识(2022年版)[J]. 中国癌症杂志, 2022, 32(8): 747-756. The Society of Gynecological Cancer of China Anti-Cancer Association. China expert consensus on multidisciplinary diagnosis and treatment of gynecological malignant tumors(2022 edition)[J]. China Oncology, 2022, 32(8): 747-756.
[19] 钟文昭,吴一龙. 肺癌多学科团队诊疗中国专家共识[J]. 中华肿瘤杂志, 2020, 42(10): 817-828. ZHONG Wenzhao, WU Yilong. Chinses expert consensus on the multidisciplinary team diagnosis and treatment of lung cancer[J]. Chinese Journal of Oncology, 2020, 42(10): 817-828.
[20] Amir Z, Scully J, Borrill C. The professional role of breast cancer nurses in multi-disciplinary breast cancer care teams[J]. Eur J Oncol Nurs, 2004, 8(4): 306-314.
[21] Brown T, Cruickshank S, Noblet M. Specialist breast care nurses for support of women with breast cancer[J]. Cochrane Database Syst Rev, 2021, 2(2): CD005634. doi: 10.1002/14651858.CD005634, pub3.
[22] 国家肿瘤质控中心乳腺癌专家委员会.中国乳腺癌规范诊疗质量控制指标(2022版)[J].中华肿瘤杂志, 2022, 44(3): 203-208. Breast Cancer Expert Committee of National Cancer Quality Control Center. Quality control index for standardized diagnosis and treatment of breast cancer in China(2022 Edition)[J]. Chinese Journal of Oncology, 2022, 44(3): 203-208.
[23] 中华人民共和国国家卫生健康委员会. 关于印发健康中国行动—癌症防治行动实施方案(2023—2030年)的通知[EB/OL].(2023-10-30)[2024-03-08]. https://www.gov.cn/zhengce/zhengceku/202311/content_69-15380.htm.
[24] 中华人民共和国国家卫生健康委员会.关于印发肿瘤诊疗质量提升行动计划的通知[EB/OL].(2021-10-18)[2024-03-08]. http://www.nhc.gov.cn/yzygj/s7659/202110/dea7d84638db44e28001fbd7d6c6801a.shtml.
[25] Selby P, Gillis C, Haward R. Benefits from specialised cancer care[J]. Lancet, 1996, 348(9023): 313-318.
[26] 中国临床肿瘤学会乳腺癌专家委员会,中国抗癌协会乳腺癌专业委员会,中华医学会外科学分会乳腺外科学组.中国年轻乳腺癌诊疗专家共识(2022)[J].中华医学杂志, 2023, 103(6): 387-403. Chinese Society of Clinical Oncology, Experts Committee on Breast Cancer, China Anti-Cancer Association, the Society of Breast Cancer, Chinese Medical Association, Chinese Society of Breast Surgery. Expert consensus on the diagnosis and treatment of young breast cancer in China(2022 Edition)[J]. National Medical Journal of China, 2023, 103(6): 387-403.
[27] Bevers TB, Niell BL, Baker JL, et al. NCCN guidelines insights: breast cancer screening and diagnosis, version 1. 2023[J]. J Natl Compr Canc Netw, 2023, 21(9): 900-909.
[28] 中华医学会外科学分会乳腺外科学组. 中国浸润性乳腺癌诊治临床实践指南(2022版)[J]. 中国实用外科杂志, 2022, 42(2): 121-127. Chinese Society of Breast Surgery, Chinese Society of Surgery, Chinese Medical Association. Clinical practice China guidelines for diagnosis and treatment of patients with invasive breast cancer(2022 edition)[J]. Chinese Journal of Practical Surgery, 2022, 42(2): 121-127.
[29] 周亚杰,王斐,于理想,等. 女性乳腺癌保乳手术决策相关因素[J]. 山东大学学报(医学版), 2022, 60(12): 1-6. ZHOU Yajie, WANG Fei, YU Lixiang, et al. Factors related to decision-making of breast-conserving surgery for female breast cancer[J]. Journal of Shandong University(Health Sciences), 2022, 60(12): 1-6.
[30] 林芸,谢燕秋. 乳腺癌患者生育力保护及保存[J]. 山东大学学报(医学版), 2022, 60(9): 42-46. LIN Yun, XIE Yanqiu. Fertility protection and preservation of breast cancer patients[J]. Journal of Shandong University(Health Sciences), 2022, 60(9): 42-46.
[31] 刘荫华,赵婧祎,辛灵. 美国临床肿瘤学会多基因检测临床实践指南更新及临床意义[J]. 山东大学学报(医学版), 2018, 56(1): 1-5. LIU Yinhua, ZHAO Jingyi, XIN Ling. Focused updates of American Society of Clinical Oncology Guideline on the use of multigene tests in clinical practice for breast cancer[J]. Journal of Shandong University(Health Sciences), 2018, 56(1): 1-5.
[32] Runowicz CD, Leach CR, Henry NL, et al. American Cancer Society/American Society of Clinical Oncology Breast Cancer Survivorship Care Guideline[J]. CA Cancer J Clin, 2016, 66(1): 43-73.
[33] 国家肿瘤质控中心乳腺癌专家委员会,北京乳腺病防治学会健康管理专业委员会.中国乳腺癌随诊随访与健康管理指南(2022版)[J]. 中华肿瘤杂志, 2022, 44(1): 1-28. Breast Cancer Expert Committee of National Cancer Quality Control Center, Health Management Professional Committee of Beijing Breast Cancer Prevention and Control Society. Comprehensive management guideline for breast cancer follow-up and healthcare(2022 edition)[J]. Chinese Journal of Oncology, 2022, 44(1): 1-28.
[1] YU Zhigang, ZHENG Chao. Current status, challenges and innovative approaches of multidisciplinary treatment for breast cancer [J]. Journal of Shandong University (Health Sciences), 2025, 63(1): 1-9.
[2] LIU Xiangrong, ZHANG Xinsheng, YANG Jinran, YANG Xueyan, LIU Zhao, LIU Yinghua. Association of the ratio of ω-6/ω-3 polyunsaturated fatty acids with various tumor types risk: a systematic review and Meta-analysis [J]. Journal of Shandong University (Health Sciences), 2024, 62(8): 34-48.
[3] Orthopaedic Rehabilitation Special Committee of Chinese Speaking Orthopaedic Society. Expert consensus on accelerated recovery of knee function after total knee arthroplasty [J]. Journal of Shandong University (Health Sciences), 2024, 62(10): 48-61.
[4] ZHANG Nana, ZHAO Yiming, LIU Xinmin. Causal relationship between uterine leiomyomas and breast cancer: a two-sample Mendelian randomization study [J]. Journal of Shandong University (Health Sciences), 2023, 61(8): 86-93.
[5] JIN Shan, GAO Jie, XIE Yujiao, ZHAN Yao, DU Tiantian, WANG Chuanxin. Effects of methyltransferase PRMT5 on stabilizing USP15 to promote the occurrence and development of breast cancer [J]. Journal of Shandong University (Health Sciences), 2023, 61(7): 1-11.
[6] DONG Xiangjun, LI Juan, KONG Xue, LI Peilong, ZHAO Wenjing, LIANG Yiran, WANG Lili, DU Lutao, WANG Chuanxin. Effects of circular RNA hsa_circ_0008591 on tumor biological behavior of breast cancer cells [J]. Journal of Shandong University (Health Sciences), 2023, 61(2): 78-87.
[7] Writing experts: BAN Yanli, ZHAO Ying, LI Hua, LIU Wei, RONG Fengnian, ZHAO Shuping, CUI Baoxia. Expert consensus of practical clinical classification system with optimal surgical strategy for cesarean scar pregnancy [J]. Journal of Shandong University (Health Sciences), 2023, 61(11): 1-10.
[8] ZHANG Jianshu, ZHANG Hanwen, ZHAO Wenjing. LncRNA ZNF528-AS1 promotes tamoxifen resistance and progression of breast cancer [J]. Journal of Shandong University (Health Sciences), 2023, 61(1): 17-26.
[9] WANG Jiongjiong, WANG Guoyong, ZHU Xiaoyan, LI Ling, ZHANG Na, LIU Yunxia. Immediate antiretroviral treatment in 1,926 cases of HIV infection through homosexual transmission in Shandong Province [J]. Journal of Shandong University (Health Sciences), 2023, 61(1): 100-105.
[10] LIN Yun, XIE Yanqiu. Fertility protection and preservation in breast cancer patients [J]. Journal of Shandong University (Health Sciences), 2022, 60(9): 42-46.
[11] HE Shiqing, LI Wanwan, DONG Shuqing, MOU Jingyi, LIU Yuying, WEI Siyu, LIU Zhao, ZHANG Jiaxin. Construction of a prognostic risk model of pyroptosis-related genes in breast cancer based on database [J]. Journal of Shandong University (Health Sciences), 2022, 60(8): 34-43.
[12] YANG Qifeng, ZHANG Ning. Sentinel lymph node biopsy of breast cancer in the era of precision medicine [J]. Journal of Shandong University (Health Sciences), 2022, 60(8): 1-5.
[13] ZHAO Tingting, QI Yana, ZHANG Ying, YUAN Bing, HAN Mingyong. Mouse breast cancer induces changes of the microenvironment in pre-metastatic lung tissue [J]. Journal of Shandong University (Health Sciences), 2022, 60(4): 24-29.
[14] Yajie ZHOU,Fei WANG,Lixiang YU,Zhigang YU. Factors related to decision-making of breast-conserving surgery for female breast cancer [J]. Journal of Shandong University (Health Sciences), 2022, 60(12): 1-6.
[15] SUN Yifeng, LI Wei, SUN Shiying, GU Anman, TAN Shengnan, FU Xunye, WANG Haizhi, JI Jianfen, GUAN Yuwang, WU Xiangqian, HE Zhicheng, WEN Zhaoyang, YU Shangjia, LI Shiyi, LIU Xinghong, CHEN Ying, WANG Tingting, SUN Yundong. Changes of antibiotic resistance rates of Morganella morganii in 11 regions of Shandong Province from 2016 to 2021 [J]. Journal of Shandong University (Health Sciences), 2022, 60(12): 88-93.
Viewed
Full text
63
HTML PDF
Just accepted Online first Issue Just accepted Online first Issue
0 0 0 0 0 63

  From Others local
  Times 15 48
  Rate 24% 76%

Abstract
153
Just accepted Online first Issue
0 0 153
  From Others local
  Times 149 4
  Rate 97% 3%

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!