摘要
１９７５年～１９８５年间共治疗Ⅰ期乳腺癌９７例，其中肿瘤长径≤１ｃｍ者３９例，１～２ｃｍ者５８例。行改良式根治术者２８例，行Ｈａｌｓｔｅｄ根治术６９术。临床Ｎ＿０者约１／５腋淋巴结阳性，Ｎ＿（１ａ）者约１／３腋淋巴结阳性。９７例的５年健在率为８０．４％，１０年健在率为６９％。特殊类型癌的１０年健在率为８７％，明显高于非特殊类型癌（６５％）（Ｐ＜０．０１）。９７例中有６９例ＥＲ阳性，ＥＲ阳性患者中１０年健在率为８６％，高于ＥＲ阴性者（３６％）（Ｐ＜０．０１）。本组资料显示：Ⅰ期乳腺癌的手术治疗方式对１０年健在率统计学上无明显差异。但癌的病理类型及ＥＲ阳性或阴性，对１０年健在率是有影响的。
During 1975～1985,97 patents with Stage I breast cancer were treated by surgical procedures in the our hospital.In 39 cases tumors were≤1.0cm in long diameter,and in 58 cases tumors were>1.0cm≤2.0cm.28 cases were treated with modified radical mastectomy and 69 cases with the Halsted radical mastectomy.1/5 of N.cases and 1/3 of N1a cases were of positive pathology.The 5￣year NED rate in this series was 80.4% The 10-year NED rate was 69% The 10-year NED rate of specifical type of carcinoma(87%)was much higher than that of nonspecifical type(65%)(P<0.01). 69 out of 97 cases had positive ER.The 10-year NED rate of positive ER(86%) was much higher than that of negative ER(36%)(P<0.01) According to our research,there was no signifiant statistical difference between the 10-year NED rate and the surgical procedures to Stage I breast cancer,as the number of patients in each group were small.However,the pathological type and ER(P'Ositive or negative)was effective to the 10-year NED rate.
出处
《河南肿瘤学杂志》
1996年第4期289-290,共2页
Henan Journal of Oncology
关键词
乳腺癌
长期疗效
外科手术
治疗
StageⅠ breast cancer,surgical procedure,long term curative effect
