早期乳腺癌保留乳房治疗18年疗效观察  

A 18-year Follow Up Study on Patients with Early Stage Breast Cancer after Breast Conservation Surgery

作　　者：朱宁生[1] 吕钢[1] 江歌丽[1] 刘晓渝[1] 

机构地区：[1]重庆市肿瘤研究所乳腺中心,400030

出　　处：《重庆医学》2011年第26期2631-2632,共2页Chongqing medicine

摘　　要：目的评价早期乳腺癌患者行保留乳房治疗的疗效。方法选择1990年3月至1993年5月本院乳腺癌患者35例,乳腺癌TNM为Ⅰ期、Ⅱa期行保留乳房手术(BCS)患者,术后行放疗、化疗,受体阳性患者口服三苯氧胺。结果 BCS治疗后优良率为88.6%(31/35)。经18年随访,局部复发4例(11.4%),死亡6例(其中4例死于远处转移,2例死于心血管疾病),总生存率为82.9%(29/35)。结论早期乳腺癌行保留乳房治疗的疗效肯定,不仅生存率等同于同期的改良根治术,而且生活质量明显提高。Objective To evaluate the long-term effect of breast conservation surgery in early stage patients. Methods 35 patients from March 1990 to May 1993 in our hospital with stage Ⅰ , Ⅱ a breast cancer received conservation surgery combined with post surgery radiation therapy, routine chemical therapy, and hormone therapy. Results In 18 years follow up, local recurrence rate was 11.4%（4/35）,overall survival rate was 82.9%（29/35） ,cosmetic satisfaction rate was 88.6%（31/35）. Conclusion The patients with early breast cancer benefit from conservation surgery for high survival rate and improved life quality.

关 键 词：乳腺肿瘤 保留乳房手术 放射治疗 

分 类 号：R737.9[医药卫生—肿瘤]