早期乳腺癌保乳手术26例临床分析  

Clinical analysis of 26 cases of early breast cancer treated with breast conservation therapy

作　　者：郭静[1] 张为群[1] 

机构地区：[1]新疆维吾尔自治区人民医院肿瘤外科,新疆乌鲁木齐830002

出　　处：《新疆医科大学学报》2005年第10期989-990,共2页Journal of Xinjiang Medical University

摘　　要：目的:探讨早期乳腺癌保乳手术的治疗效果。方法:选择临床0-Ⅱa期女性乳腺癌26例行保乳手术,19例行肿瘤局部扩大切除术,7例行象限切除术,26例均行腋淋巴结清扫。术后辅以放疗、化疗和内分泌治疗。结果:26例患者术后无切口感染、皮瓣坏死及皮下积液;24例术后乳腺外形满意率为92%(24/26);术后4-24个月局部复发1例(3.8%),无远处转移和死亡病例。结论:保乳手术具有创伤小、并发症少及患者恢复快、形体改变小的优点,值得推广。Objective： To evaluate the treatment outcome of early breast cancer treated with breast conservation therapy. Methods： Twenty-six cases of stage Ⅰ and stage Ⅱ early breast cancer were operated with breast conservation therapy plus axillary lymph nodes dissection, of which 19 cases with extended local excision, 7 cases with quadrantectomy. After operation all patients received radiotherapy, chemotherapy and endocrinotherapy. Results： Twenty-six cases with breast conservation therapy had not skin necrosis, dropsy under skin and in cisional wound in fection. The cosmetic results were good in 92% （24/26） . By 4-24 months＇ follow-up, 2 cases （3.8%） were found local recurrence. There was no distant metastasis and death. Conclusion： Breast conservation therapy is recommended with little operative trauma, less complication and good cosmetic result.

关 键 词：早期乳腺癌 保乳手术 治疗效果 

分 类 号：R737.9[医药卫生—肿瘤]