摘要
目的评估早期乳腺癌保乳综合治疗的疗效。方法2000年3月～2005年9月，我院对52例Ⅰ期及部分Ⅱ期（肿瘤≤3cm，单发病灶）乳腺癌行局部广泛切除术，全腋窝淋巴结清扫术联合术后放疗，并辅以化疗（CMF或CEF方案）、内分泌治疗（口服三苯氧胺）。结果术后病理提示个切缘无癌细胞浸润。美容效果优良率达86．5％（45／52）。50例随访10～36个月（中位时间16个月），未见局部复发与远处转移。结论选择部分Ⅰ～Ⅱ期乳腺癌病例行保乳手术治疗，乳房外形及临床疗效满意，而且可以提高生活质量。
Objective To discuss curative results of breast-conserving therapy for early primary breast cancer. Methods Fifty-two patients with stage Ⅰ～Ⅱ breast cancer （solitary tumor ≤ 3 cm in size） underwent local lumpectomy and axillary lymph node dissection from March 2000 to September 2005 in this hospital. After operation, the radiation therapy, chemotherapy, and endocrine therapy were given. Results The breast specimens were pathologically examined and no infiltrating margin was found. The rate of good cosmetic effects was 86.5% （45/52）. Follow-up examinations in 50 cases for 10～36 months （median, 16 months） found no local recurrence and distant metastasis. Conclusions The cosmetic and clinical results of breast-conserving surgery for stage Ⅰ～Ⅱ primary breast cancer are satisfactory.
出处
《中国微创外科杂志》
CSCD
2006年第9期669-670,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
乳腺癌
保乳手术
Breast cancer
Breast-conserving surgery
