86例早期乳腺癌的保乳手术疗效评价  

Breast conserving surgery for early breast cancer: a report of 86 cases

作　　者：秦贤举[1] 许厚顺[1] 陈问谭[1] 杨永康[1] 赵大方[1] 

机构地区：[1]上海复旦大学附属中山医院分部(肿瘤中心)外科,200052

出　　处：《中华普通外科杂志》2003年第8期461-462,共2页Chinese Journal of General Surgery

摘　　要：目的　探讨早期乳腺癌保乳手术治疗的适应证及方法。方法　回顾性分析 86例Ⅰ、Ⅱa期乳腺癌实施保乳手术及综合治疗的资料。结果　保乳术后病侧乳房外形均较好 ,两侧乳房基本对称 ,术后 5年复发率为 5 2 % ,5年生存率为 96 5 %。结论　早期乳腺癌的保乳手术治疗安全、疗效确切 ,但必须正确掌握手术指征及合理的切除范围 ,同时要保证术后的综合治疗及严格的随访制度。ObjectiveTo evaluate the breast-conserving surgery for early breast cancer.MethodFrom 1993 to 2000, 86 female cases of stage ⅠⅡa breast cancer received breast conserving comprehensive therapy. Clinical data were analyzed retrospectively. ResultsThe 5 year survival rate of this group was 96.5% and the 5 year recurrence rate was 5.2%.The postoperative contour of the breast was satisfactory.ConclusionBreast-conserving surgery is safe and effective therapy for early breast cancer, when strict indication and necessary safe margin of resection is obeyed by. Postoperative radiotherapy and chemotherapy should be properly arranged and the patients should be closely followed-up.

关 键 词：早期 乳腺癌 保乳手术 疗效评价 治疗 

分 类 号：R737.9[医药卫生—肿瘤]