【摘要】 <正> 手术治疗目前仍是乳腺癌的主要治疗方法,根治性手术还是适用于各期浸润性乳腺癌。Halsted于1894年提倡的乳腺癌根治术过去一直是作为乳腺癌的典型手术方法,但在1950年起由于明确了内乳淋巴结也是乳腺癌的直接转移途径,因而开展了各种方式的包括内乳淋巴结清除的扩大根治术。但对这两种根治手术的疗效及手术指征目前有很多不同的看法。我院自1952～1978年共施行乳腺癌根治术740例,扩大根治术(除9例胸膜内以外均为胸膜外法)1,091例,随访更多还原

【Abstract】 This article dealt with the analysis of the long term results of 1, 091 cases of extendedradical mastectomy and 740 cases of radical mastectomy. In stage 1 patients, irrespectiveof the degree of involvement of the axillary lymph nodes and the location of the primarytumors, there was no difference in the long term survival of the two types of operation. Instage 2 and stage 3 patients, also irrespective of the degree of involvement of the axilliarylymph nodes and the location of primany tumors, the long-term survival in extendedradical mastectomy was better than radical mastectomy. With regard to the differentpathological types, the extended radical mastectomy also yielded better results than radicalmastectomy. The different types of surgical treatment of breast cancer and the indications forradical and extended radical mastectomy were also assessed.更多还原