节皮乳腺切除术治疗早期乳腺癌  

Skin-sparing Mastectomy in the Treatment of Early Breast Cancer

作　　者：梁春立[1] 孙国荣 裴栽荣 

机构地区：[1]上海市东方医院普外科

出　　处：《中国现代手术学杂志》2003年第6期413-415,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的　探讨节约皮肤的乳腺切除术治疗早期乳腺癌的可行性。　方法　在行乳腺癌根治术前 ,先切除肿块及其表面皮肤 ,切缘冰冻切片检查 ,如无肿瘤浸润则根据乳房的大小在保证皮肤缝合无张力的前提下决定皮肤的切除范围。采用节皮乳腺切除术治疗早期乳腺癌 68例。　结果　 7例(10 .3 % )术后皮肤坏死。 62例获随访时间 6～ 60个月 (中位时间 3 8个月 ) ,2例出现远处转移 ,1例局部淋巴结复发 ,其余无远处转移或复发。　结论　节约皮肤的乳腺切除术治疗早期乳腺癌是可行的 。Objective To evaluate the clinical feasibility of skin sparing mastectomy in the treatment of early breast cancer. Methods Before radical mastectomy was performed, the lump with overlying skin was removed, the edge of the skin was pathologically examined with frozen sections to verify whether there existed tumor cells in the skin. If the skin edge was negative, the scale of removed skin was decided according to the volume of the breast at the prerequisite of tensionless suture of the skin. 68 cases underwent the skin sparing mastectomy. Results Postoperative skin necrosis occurred in 7 patients (10.3%). During a follow up period of 6 to 60 months in 62 patients, distant metastases occurred in two and local axillary lymph node recurrence occurred in one. Conclusion Skin sparing mastectomy in the treatment of early breast cancer is feasible and could reduce the incidence of postoperative skin necrosis.

关 键 词：节皮乳腺切除术 治疗 乳腺癌 肿瘤 手术 

分 类 号：R737.9[医药卫生—肿瘤]