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保乳手术治疗早期乳腺癌
引用本文:杜伟亚 苏逢锡 于萍 谭宝莲 陈卫民. 保乳手术治疗早期乳腺癌[J]. 实用临床医学(江西), 2005, 6(6): 74-75,77
作者姓名:杜伟亚 苏逢锡 于萍 谭宝莲 陈卫民
作者单位:[1]江门市五邑中医院胸外科,广东江门529031 [2]中山大学附属二院乳腺外科,广东广州510008
摘    要:目的:探讨早期乳腺癌保留乳房治疗的临床应用价值。方法:随访观察52例临床早期乳腺癌行局部广泛切除、全腋窝淋巴结清扫加术后放疗,并辅以化疗、内分泌治疗后的治疗效果。结果:52例中随访3年以上者35例,5年以上者16例,3年生存率100%,无瘤生存率100%;5年生存率93.8%,无瘤生存率93.8%;美容效果满意率达90.1%。结论:只要正确掌握手术指征及合理的切除范围,保证术后的综合治疗,选择部分早期乳腺癌病例行保乳手术治疗是安全有效可行的。

关 键 词:乳腺癌 保乳手术 放射治疗
文章编号:1009-8194(2005)06-0074-02
修稿时间:2005-03-18

Conservative Operation for Early Breast Cancer
Du Wei-ya,Shu Feng-xi,Yu Ping,Tan Bao-liang,Chen Wei-ming. Conservative Operation for Early Breast Cancer[J]. Practical Clinical Medicine, 2005, 6(6): 74-75,77
Authors:Du Wei-ya  Shu Feng-xi  Yu Ping  Tan Bao-liang  Chen Wei-ming
Affiliation:Du Wei-ya~1,Shu Feng-xi~2,Yu Ping~1,Tan Bao-liang~1,Chen Wei-ming~1
Abstract:Objective:To evaluate the clinical significance of conservative operation for early breast cancer. Methods:Fifty-two patients with early breast carcinoma who underwent wide local excision, axillary nodes dissection and postoperative radiotherapy, chemotherapy and endocrinotherapy were followed-up to observer the clinical curative effect. Results:In 52 cases, 35 were followed up over 3 years and 16 cases over 5 years. The 3-year survival rate was 100%, and the survival rate of non neoplasm was 100%. The 5-year survival rate was 93.8%, and the survival rate of non neoplasm was 93.8%. The cosmetic satisfactory rate was 90.1%. Conclusion:If strict indication and necessary safe margin of resection is obeyed by, it is effective and feasible for conservative surgery in the treatment of some early breast cancers.
Keywords:breast cancer  conservative operation  radiotherapy
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