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乳腺导管原位癌的保乳手术疗效分析
引用本文:刘红光,齐海智,康颖. 乳腺导管原位癌的保乳手术疗效分析[J]. 中国普通外科杂志, 2007, 16(11): 16-108
作者姓名:刘红光  齐海智  康颖
作者单位:1. 中南大学湘雅附二医院,普通外科,湖南,长沙,410011;南华大学附属一医院,肿瘤外科,湖南,衡阳,421001
2. 中南大学湘雅附二医院,普通外科,湖南,长沙,410011
3. 南华大学附属一医院,肿瘤外科,湖南,衡阳,421001
摘    要:目的:探讨乳腺导管内原位癌(DCIS)的保乳术临床效果。 方法: 对经病理确诊为DCIS行保乳手术加放疗患者62例与同期行保乳手术加放疗临床I,II期乳腺浸润性导管癌患者62例进行回顾性比较分析。结果:DCIS患者复发率6.4%(4/62),其中3例病理证实为粉刺型;浸润性导管癌患者复发率19.3%(11/62)。结论:DCIS的保乳治疗总体预后优于早期浸润性导管癌;粉刺型DCIS具有较高的复发危险性。

关 键 词:乳腺肿瘤/外科学  保乳手术  肿瘤复发  预后
文章编号:1005-6947(2007)11-1085-03
收稿时间:2007-02-06
修稿时间:2007-07-16

Analysis of outcome of breast conserving treatment of breast ductal carcinoma in situ
LIU Hong-guang,QI Hai-zhi,KANG Ying. Analysis of outcome of breast conserving treatment of breast ductal carcinoma in situ[J]. Chinese Journal of General Surgery, 2007, 16(11): 16-108
Authors:LIU Hong-guang  QI Hai-zhi  KANG Ying
Affiliation:(1. Department of General surgery, the Second Xiangya Hospital, Central South University, Changsha 410011, China; 2.Department of Tumor Surgery, the First Affiliated Hospital, Nanhna University, Hengyang, Hunan 421001, China)
Abstract:Abstract:Objective:To study the clinical outcome of breast conserving treatment of breast ductal carcinoma in situ(DCIS).Methods :The data of 62 patients with pathologically proven DCIS who underwent breast conserving operation and adjuvant radiotherapy were retrospectively compared with 62 concurrent cases of stageⅠ or Ⅱ infiltrating ducatl carcinoma who received breast conserving operation and adjuvant readotherapy.Results:The recurrence rate in DCIS cases was 6.4%(4/62), among them, 3 cases belonged to comedo type;the recurrence rate in early infiltrating type of ductal breast carcinoma was 19.3%(11/62)(P<0.05).Conclusions:In cases of breast ductal carcinoma in situ, breast conserving treatment has better prognosis than early infiltrating ductal carcinoma. The comedo type has a high risk to recur.
Keywords:Breast Neoplasms /surg  Conservative Operation  Neoplasm Recurren  Prognosis
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