不予放射治疗局部切除方法治疗乳腺导管原位癌的临床疗效研究  

The Clinical Efficacy of Local Resection Method Without Radiotherapy Treatment for Ductal Carcinoma in Situ

作　　者：孙勇[1] 李运辉[1] 张鹏[1] 

机构地区：[1]山东省莱芜市人民医院,山东莱芜271100

出　　处：《河北医学》2014年第6期887-890,共4页Hebei Medicine

摘　　要：目的:探讨不予放射治疗局部切除方法治疗乳腺导管原位癌的临床疗效。方法:本文回顾性分析了我院自2003年5月至2008年4月所收治的101例乳腺导管原位癌患者,均采用局部切除方法治疗,并且不予放射治疗,根据病情分别行单纯乳房局部切除术30例、改良根治术28例、标准根治术31例、扩大根治术12例。结果:全组患者11例(10.89%)患者出现了术后的复发,复发患者均再次进行了局部或是全部的乳房切除术,并且在再次随访的过程中均没有出现复发和死亡。3年生存率100%(101/101),5年生存率97.03%(98/101)。结论:不予放射治疗局部切除方法治疗乳腺导管原位癌患者的康复与复发率的降低具有积极效果,且相对于放射治疗临床医疗费用与副作用较小,值得未来进一步临床推广。Objective： To investigate the clinical efficacy of local resection method without radiotherapy treatment of ductal carcinoma in sire. Method： A retrospective analysis of 101 cases of breast cancer patients in our hospital from 2003 May to 2008 April were treated by local excision, and no radiation therapy, according to the disease were treated by extended radical mastectomy in 12 cases, 31 cases of standard radical mastectomy, modified radical mastectomy in 28 cases, partial resection in 30 simple breast an example. Result： There were 11 patients （10.89% ） developed reeun-ence,the recurrence patients were again analyzed in partial or complete masteetomy,and in the process again follow-up are not relapse and death. The 3 years survival rate was 100% （ 101/101 ）, 5 years survival rate was 97.03% （ 98/101 ）. Conclusion： The positive effect is not radiotherapy for local excision of rehabilitation treatment for patients with ductal carcinoma in situ and reduce the recurrence rate, and relative to the radiation therapy clinical medical cost and little side effect, which deserves further clinical promotion.

关 键 词：放射治疗 乳腺导管原位癌 切除手术 复发率 

分 类 号：R737.9[医药卫生—肿瘤]