保留乳头乳晕复合体的乳房切除术治疗少腺体型乳腺癌的效果观察  

Clinical efficacy of nipple-areola-complex sparing mastectomy in hypoglandular breast cancer

作　　者：陈宇霞[1] 吴宗源 陈伯文 徐宇航 杨伟雄[1] 张远起 CHEN Yu-xia;WU Zong-yuan;CHEN Bo-wen;XU Yu-hang;YANG Wei-xiong;ZHANG Yuan-qi(Department of Breast,Maoming People's Hospital,Maoming 525000;Breast Surgery Department of the Affiliated Hospital of Guangdong Medical University,Zhanjiang 524001,China)

机构地区：[1]广东省茂名市人民医院乳腺病科,广东茂名525000 [2]广东医科大学附属医院乳腺外科,广东湛江524001

出　　处：《广东医科大学学报》2020年第6期733-736,共4页Journal of Guangdong Medical University

摘　　要：目的了解早期乳腺癌保留乳头乳晕复合体的乳房切除术(NSM)治疗少腺体型乳腺癌的效果。方法50例术前病理确诊为浸润性导管癌的少腺体型乳腺癌患者分为保乳组和NSM组,比较两组术后并发症、术后2 a乳房触压觉存留和美观度、复发率、满意度。结果术后感染、术后2 a两组的复发率及乳房美容等级差异均无统计学意义(P>0.05)。保乳组乳房感觉存留更好(P<0.01或0.05),但NSM组总体满意度更高(P<0.05)。结论NSM术对淋巴结阴性少腺体型乳腺癌的疗效可能优于保乳术。Objective To observe the clinical efficacy of nipple-areola-complex sparing mastectomy(NSM)in hypoglandular breast cancer.Methods Fifty hypoglandular breast patients with pathologically diagnosed invasive ductal carcinoma underwent breast-sparing mastectomy(BSM)and NSM.Postoperative complications and 2-year feeling,aesthetic,recurrence,and satisfaction were compared between two groups.Results Postoperative complications and 2-year aesthetic and recurrence were comparable between two groups(P>0.05).Although breast feeling was superior in BSM group(P<0.01 or 0.05),satisfaction was better in NSM group(P<0.05).Conclusion NSM may be superior to BSM for hypoglandular breast cancer patients with negative lymph node metastasis.

关 键 词：乳腺癌 乳房切除术 少腺体型乳房 

分 类 号：R737.9[医药卫生—肿瘤]