近10年来，针灸在肿瘤治疗领域的定位发生了显著变化，逐渐从以症状控制为主的辅助手段，发展为兼具抗肿瘤机制探索与临床整合抗肿瘤的系统性干预策略。随着高级别临床证据的不断积累，国际权威指南已将针灸纳入癌症相关疼痛、潮热及多种治疗相关不良反应的标准管理路径，标志着其在肿瘤支持治疗中的地位获得广泛认可。在理论构建方面，针灸抗肿瘤的学术框架日趋成熟，尤其在以“癌旁围刺”为代表的局部干预与传统经穴针刺整体调节相结合的临床体系中取得重要进展。机制研究层面，针灸被证实具有多维度调控肿瘤微环境的能力，包括调节血管生成、重塑免疫细胞功能、调节神经内分泌网络等，从而协同增强现代医学疗法的抗肿瘤效应。展望未来，针灸肿瘤学的发展亟需围绕治疗路径的标准化、大样本临床研究对近远期疗效与生存获益的验证，以及针灸与现代抗肿瘤疗法在多靶点层面的协同机制解析，进一步推动其向精准化、系统化的整合医学模式迈进。

Over the past decade, the positioning of acupuncture in the field of tumor therapy has undergone a remarkable transformation: it has evolved from an adjuvant therapy primarily for symptomatic control into a systematic intervention strategy that integrates both the exploration of antitumor mechanisms and clinical integrated antitumor practice. Bolstered by the continuous accumulation of high-level clinical evidence, international authoritative guidelines have officially incorporated acupuncture into the standard management pathways for cancer-related pain, hot flashes and a variety of treatment-associated adverse reactions, which marks the widespread recognition of its status in cancer supportive care. In terms of theoretical construction, the academic framework of acupuncture for antitumor therapy has become increasingly mature, with pivotal advances achieved in the clinical system that combines local interventions represented by peritumoral surrounding acupuncture with the holistic regulation of traditional meridian-acupoint acupuncture. At the mechanistic research level, acupuncture has been proven to possess the capacity for multi-dimensional regulation of the tumor microenvironment, including modulating angiogenesis, remodeling immune cell functions and regulating neuroendocrine networks, thus synergistically enhancing the antitumor effects of modern medical therapies. Looking ahead, the development of acupuncture oncology is in urgent need of focusing on the standardization of treatment pathways, the verification of short- and long-term efficacy as well as survival benefits through large-sample clinical studies, and the elucidation of multi-target synergistic mechanisms between acupuncture and modern antitumor therapies. These efforts will further propel its advancement toward a precise and systematic integrated medical model.