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早期乳腺癌保乳手术26例临床分析

Clinical analysis of 26 cases of early breast cancer treated with breast conservation therapy

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【作者】 郭静张为群

【Author】 GUO Jing, ZHANG Wei-qun (Department of Tumor Surgery, The People s Hospital of Xinjiang Uigur Autonomous Region, Urumqi 830002, China)

【机构】 新疆维吾尔自治区人民医院肿瘤外科新疆维吾尔自治区人民医院肿瘤外科 新疆 乌鲁木齐 830002新疆 乌鲁木齐 830002

【摘要】 目的:探讨早期乳腺癌保乳手术的治疗效果。方法:选择临床0-Ⅱa期女性乳腺癌26例行保乳手术,19例行肿瘤局部扩大切除术,7例行象限切除术,26例均行腋淋巴结清扫。术后辅以放疗、化疗和内分泌治疗。结果:26例患者术后无切口感染、皮瓣坏死及皮下积液;24例术后乳腺外形满意率为92%(24/26);术后4-24个月局部复发1例(3.8%),无远处转移和死亡病例。结论:保乳手术具有创伤小、并发症少及患者恢复快、形体改变小的优点,值得推广。

【Abstract】 Objective: To evaluate the treatment outcome of early breast cancer treated with breast conservation therapy. Methods: Twenty-six cases of stage Ⅰ and stage Ⅱ early breast cancer were operated with breast conservation therapy plus axillary lymph nodes dissection, of which 19 cases with extended local excision, 7 cases with quadrantectomy. After operation all patients received radiotherapy, chemotherapy and endocrinotherapy. Results:Twenty-six cases with breast conservation therapy had not skin necrosis, dropsy under skin and in cisional wound in fection. The cosmetic results were good in 92% (24/26) . By 4 -24 months’ follow-up, 2 cases (3. 8%) were found local recurrence. There was no distant metastasis and death. Conclusion:Breast conservation therapy is recommended with little operative trauma, less complication and good cosmetic result.

  • 【文献出处】 新疆医科大学学报 ,Journal of Xinjiang Medical University , 编辑部邮箱 ,2005年10期
  • 【分类号】R737.9;
  • 【被引频次】1
  • 【下载频次】31
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