摘要
目的:探讨Ⅰ、Ⅱ期乳腺癌保乳综合治疗的疗效及相关技术,为普及早期乳腺癌保乳综合治疗提供参考。方法:回顾性分析我院1993年12月～2004年10月间216例行保乳手术治疗的乳腺癌患者的相关资料,对肿瘤采取局部扩大切除或乳房象限切除,有209例行腋窝淋巴结清扫。术后辅以放疗、化疗或内分泌治疗。结果:无手术并发症。随访3～147个月,死亡2例,其中1例与本病无关;局部复发率1.85%。按照国家“十五”攻关课题“早期乳腺癌规范化保乳综合治疗的临床研究”采用的乳房美容评定标准进行评价,符合优良标准的有199例(92.13%),不满意者17例(7.87%)。结论:早期乳腺癌保乳综合治疗创伤小、疗效确切、形体改变少、能提高生存质量,但须合理的掌握手术适应证及保乳综合治疗的相关技术。
Objective：To explore the therapeutic effect and associated technique of breast conserving therapy on patients with clinical stage Ⅰ and stage Ⅱ breast cancer. Methods：216 female patients with breast cancer were underwent breast conserving therapy from December 1993 to October 2004. their datas were analyzed retrospectively. The breast conserving therapy consists of lumpectomy or quarter removal of the breast, postoperative radiotherapy, chemotherapy and endocrine therapy. 209 patients of them were underwent axillary lymph node dissection. Results：There were no operative complications. 216 patients were followed-up 3 to 147 monthes, the medial following-up time is 78 months. The local recurrence rate was 1.85%. Two patients were dead and one of them was not related with breast cancer. Presence or absence of fibrosis, shape of breast, asymmetry, pigmentation and handle were taken into consideration for cosmetic evaluation by the patients and experienced breast surgeon. Breasts were scored cosmetically as excellent and good in 199 patients, the rate of satisfactory was 92. 13 %. Conclusion： Breast conserving therapy for early breast cancer is a safe and effective therapy, It has less trauma and less complications and also can raise the quality of life in the patients. But we must obey the strict indication and reasonable techniques.
出处
《临床肿瘤学杂志》
CAS
2006年第7期521-524,共4页
Chinese Clinical Oncology
关键词
乳腺癌
保乳手术
美容技术
放射疗法
化学治疗
Breast carcinoma
Remaining breast operation
Cosmetic Techniques
Radiotherapy
Chemotherapy
