保乳手术治疗早期乳腺癌57例临床分析  

Clinical analysis of 57 cases of early breast carcinoma using conservative surgery

作　　者：郭榆江[1] 黄燮民[1] 邹强[2] 张浩[1] 陶国清[1] 

机构地区：[1]南京医科大学附属无锡第一医院普外科,江苏省无锡市214002 [2]复旦大学附属华山医院普外科

出　　处：《中国综合临床》2004年第6期544-545,共2页Clinical Medicine of China

摘　　要：目的　探讨保乳手术治疗早期乳腺癌的效果。方法　对 5 7例临床早期乳腺癌行局部广泛切除术、全腋淋巴结清扫术加术后放疗 ,并辅以化疗、内分泌治疗。结果　 5 7例中随访 3年以上者 38例 ,5年以上者 14例。 3年生存率 10 0 % ,无瘤生存率 97.4 % ;5年生存率 92 .9% ,无瘤生存率 85 .7% ;美容效果满意率达 87.7%。结论　选择部分Ⅰ、Ⅱ期乳腺癌病例行保乳手术治疗是可行的。Objective To explore the effect of early breast carcinoma using conservative surgery.Methods 57 cases of early breast carcinoma were treated by wide local excision,axillary nodes dissection and postoperative radiotherapy.All patients received chemotherapy and endocrinotherapy.Results In 57 cases,38 cases were followed up over 3 years and 14 cases over 5 years.The 3-year survival rate was 100%,and the survival rate of non neoplasm was 97.4%.The 5-year OS was 92.9%,and DFS 85.7%.The cosmetic satisfactory rate was 87.7%.Conclusion It is feasible for conservative surgery in the treatment of some breast cancers of clinical stage Ⅰ and Ⅲ.

关 键 词：乳腺肿瘤 保乳手术 放射治疗 

分 类 号：R737.9[医药卫生—肿瘤]