摘要
目的:探讨在新辅助化疗后乳腺癌患者中,Kodama改良根治术应用的可行性。方法:对2002-2007年间65例新辅助化疗后乳腺癌患者分别行Halsted根治术(HRM组)和Kodama改良根治术(KMRM组),比较分析治疗效果。结果:两组清扫腋窝淋巴结总数及阳性淋巴结数差异无显著性,术后上肢水肿差异有显著性,5年生存率差异无显著性。结论:Kodama改良根治术远期治疗效果等同于Halsted根治术,且并发症较少。
Objective To explore the feasibility of modified radical mastectomy （Kodama＇s method） in breast cancer patients after neoadjuvant chemotherapy. Methods Either modified radical mastectomy （Kodama＇s method） or Halsted radical mastectomy was performed from 2002 through 2007 in 65 patients with breast cancer who had previously received neoadjuvant chemotherapy. The therapeutic effectiveness of the two procedures was analyzed. Results The total number of dissected axillary lymph node and the number of positive node did not differ significantly between the two groups, nor did the 5-year survival rate. There was significant difference in the postoperative edema of the upper limb. Conclusion The long-term efficacy of Kodama＇s method is similar to that of Halsted radical mastectomy and the former procedure has fewer complications.
出处
《实用医学杂志》
CAS
2008年第5期738-739,共2页
The Journal of Practical Medicine
关键词
乳腺肿瘤
乳房切除术
根治性
新辅助化疗
Breast neoplasms Mastectomy,radical Neoadjuvant chemotherapy
