非腋窝清扫保乳手术治疗早期乳腺癌20例近期疗效分析

目的探讨非腋窝清扫保乳手术治疗早期乳腺癌的疗效。方法 2007-2011年诊断为T1~2M0N0实施保乳手术联合放疗治疗的42例女性乳腺癌患者,按照患者意愿分为非腋窝淋巴结清扫保乳术组(实验组,n=20)和腋窝淋巴结清扫保乳术组(对照组,n=22)。结果手术后6个月随访,与对照组比较,实验组手术并发症发生率降低,美容效果显著提高。结论对于未转移的早期乳腺癌实施非腋窝清扫的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,值得进一步临床开展及推广。

Clinical analysis of breast-conserving surgery without axillary lymph node dissection in the treatment of 20 cases of early breast cancer

Objective To observe the therapeutic effect of breast-conserving surgery without axillary lymph node dissection in the treatment of 20 cases of early brest cancer. Methods A total of 42 patients with breast cancer diagnosed with T1~2 tumors from 2007 to 2011 were enrolled in this study. The patients were divided into two groups according to the patient’s willingness. The study group (n=20) were treated by breast-conserving surgery without axillary lymph node dissection, while those in the control group were treated by breast-conserving surgery with axillary lymph node dissection. Results Six months after operation, patients of the study group showed significantly better cosmetic results and less complications, compared with the control group. Conclusion Breast-conserving therapy with omission of axillary lymph node dissection is a safe and effective for treating early breast cancer, with less trauma and less complications, which can improve the quality of life of patients.