摘要
目的观察早期乳腺癌保乳治疗效果,探讨乳腺癌保乳治疗的禁忌证及技术要求。方法回顾性分析1995～2002年行保乳治疗的86例Ⅰ、ⅡA期早期乳腺癌的临床特点及疗效。结果保乳治疗手术的并发症为8.14%。术后乳房外形效果良好为59.3%,局部再发率为6.15%,3年和5年总生存率分别为95.38%和92.31%。结论选择早期乳腺癌中部分病例积极推行保乳治疗不影响总生存率,手术并发症少,局部复发率低,在生理和心理上均改善了患者的生存质量;但残乳再发癌的发病机理及预防有待进一步研究。
Objective To investigate the effects of breast-conserving therapy for early breast cancer and explore the contraindications and technical requirement. Methods The clinical features and therapeutic effects of 86 patients with stage Ⅰ and Ⅱa early breast cancer treated with breast conserving surgery during 1995 -2002 were retrospective analyzed. Results The operative complication of breast-conserving therapy was 8.14%. The follow-up results indicated that 6.15% of the patients suffered from local recurrence, the 3 and 5 year survival rates were 95.38 % and 92.31% , respectively, and 59.3% of the patients obtained good cosmetic result after operation. Conclusions Breast conserving therapy for patients with early stage breast cancer does not affect the overall survival rate, has less complications, low local recurrence rate, and can improve the life quality of patients psychologically and physiologically. The mechanism of recurrence and prevention of breast cancer need further study.
出处
《中华乳腺病杂志（电子版）》
CAS
2007年第4期78-81,共4页
Chinese Journal of Breast Disease(Electronic Edition)
关键词
乳腺癌
保乳治疗
禁忌证
局部复发
Breast carcinoma
Breast-conserving therapy
Contraindication
Local recurrence
