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早期乳腺癌保乳手术的临床疗效研究

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摘要 目的分析早期乳腺癌保乳治疗的近期疗效及美容效果。方法76例早期(临床I、Ⅱ期)乳腺癌患者实施保留乳房手术。术后辅助放疗、化疗及内分泌治疗,评价保乳手术的生存率和美容效果为保乳组;76例早期(临床I、Ⅱ期)乳腺癌患者实施改良根治术为对照组。结果全组随访10~70个月,保乳组局部复发2例,远处转移4例,均为肝转移;3年总生存率为100%。5年总生存率为95%;对乳房外形评价,优良、一般、差分别为50%、45%、5%。改良根治术组无局部复发,远处转移4例,2例肝转移,2例肺转移;3年总生存率为100%,5年总生存率为97%,术后患侧乳房缺如。结论对早期乳腺癌患者实施保乳手术联合术后正规放疗、化疗及内分泌治疗,疗效确切,并可取得良好的美容效果。
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出处 《中国中医药现代远程教育》 2009年第11期206-207,共2页 Chinese Medicine Modern Distance Education of China
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