97例乳腺癌保乳治疗的临床疗效观察  

Clinical outcome and cosmetics in breast cancer patients treated with conservative surgery and radiotherapy

作　　者：温凤云[1] 马特[2] 于洪[1] 

机构地区：[1]辽宁省肿瘤医院放疗科,辽宁沈阳110042 [2]辽宁省肿瘤医院乳腺外科,辽宁沈阳110042

出　　处：《大连医科大学学报》2012年第3期287-289,共3页Journal of Dalian Medical University

摘　　要：[目的]观察乳腺癌保乳手术加放疗的临床疗效及美容效果。[方法]97例乳腺癌行保乳手术后接受术后放疗,用6MV-X射线照射全乳房,采用乳房切线野照射,每次2 Gy,每周照射5次,至DT 50Gy/25f/35d。瘤床区加量采用9～12 MeV电子线,每次2 Gy,共5次,DT 10 Gy。有腋窝淋巴结转移,给以同时行锁骨上区预防性照射DT 50Gy/25f/35d。[结果]中位随访时间为60个月(30～72个月),总生存率为97.3%,局部复发率为3.21%,无病生存率为94.7%。乳房美容效果好,优良率达93.8%。[结论]乳腺癌保乳手术加放疗可以获得满意的控制率和美容效果。[ Objective ] To evaluate the effectiveness and the cosmetic result of radiotherapy after breast conserving surgery for early breast cancer. [ Methods] A total of 97 early invasive breast carcinoma in women who had undergone previous breast - conserving surgery were treated with postoperative irradiation. [ Results ~ The median follow - up time was 60 months ,the overall survival rate was 97.3% and the locoregional recurrence rate was 3.21% ,as calculated using the Kap- lan - Meier method. Excellent and good cosmetic result was noted in 91 patients. [ Conclusion] Breast - conserving therapy, consisting of breast - conserving surgery followed by breast radiotherapy, has therefore become the standard regimen for treatment of early invasive breast cancer.

关 键 词：乳腺癌 放射治疗 保乳手术 美容效果 

分 类 号：R737.9[医药卫生—肿瘤]