目的总结老年乳腺癌的临床特征及诊治进展。方法采用文献复习方法,结合相关的临床指南,对老年乳腺癌的临床特征及目前诊治研究进展以及共识做一简要综述。结果老年乳腺癌患者较其他年龄阶段患者有其特殊的生理和心理特征,同时高龄患者常伴有基础疾病,临床诊治策略及预后与中青年患者存在明显差异。结论对老年乳腺癌患者,应在综合评估患者预期寿命、伴随疾病、获益程度、治疗耐受性等多方面因素的前提下拟定相应的治疗方案。 Objective To summarize the clinical features and diagnosis and treatment of advanced breast cancer. Methods Using literature review methods and clinical guidelines, a brief review was made on the clinical features of breast cancer and the current research progress and consensus. Results Elderly patients with breast cancer had more specific physiological and psychological characteristics than those in other age groups. The elderly patients were often accompanied by underlying diseases. The clinical diagnosis and treatment strategy and prognosis were significantly different from those in middle-aged patients. Conclusion For the elderly patients with breast cancer, the corresponding treatment plan should be drawn on the premise of comprehensive assessment of the life expectancy, accompanying disease, benefit level, treatment tolerance and other factors.