早期乳腺癌保乳手术的疗效评价

目的 探讨乳腺癌保乳手术治疗的适应证，手术方法及术后放化疗方案。方法 回顾性分析20例早期乳腺癌实施保乳手术及综合治疗的资料。结果 保乳术后病侧乳房外形较好，两侧乳房基本对称，术后3年复发率为5％，3年生存率为100％。结论 早期乳腺癌保乳手术治疗安全，疗效确切，但必须严格掌握手术指征及合理的切除范围，同时要保证术后的综合治疗及严格的随访制度。

Breast conserving surgery for early breast cancer

Objective To evaluate the breast-conserving surgery for early breast cancer.Methods From 2002 to 2005,10 female cases of early breast cancer received breast conserving comprehensive therapy.Clinical data were analyzed retrospectively.Results The postoperative contour of the breast was satisfactory.The 3 year survival rate of this group was 100% and the 3 year recurrence rate was 10%.Conclusion Breast-conserving surgery is safe and effective therapy for early breast cancer,when strict indication and necessary safe margin of resection is obeyed by.Postoperative radiotherapy and chemotherapy should be properly arranged and the patients should be closely followedup.