摘要
目的探讨保留乳房的乳腺癌切除术如何确定标本边缘。方法选择符合保留乳房标准的乳腺癌111例，实施保乳手术，手术标本边缘按照肿瘤周围1cm正常组织切除。术后根据病理、临床分期制定个体化的综合治疗，定期随访患者局部和全身情况。结果111例乳腺癌符合保乳手术治疗标准，实施了保乳手术治疗并能接受定期随访，1例出现局部区域复发。结论按照肿瘤周围1cm正常组织切除，取其左、右、上、下、基底5个面作冰冻切片，证实标本边缘无肿瘤浸润。绝大多数患者可获满意的美容效果，提高了早期乳腺癌患者的生存质量。
Objective To discuss how to determine the operative margin in breast-conserving surgery in patient with early-stage breast cancer. Methods The breast-conserving surgery was performed on 111 patients with early-stage breast cancer who met the indication of breast-conserving. The operative incision was performed on normal breast tissue 1 cm from the turnout edge and then the frozen sections of the surgical margin tissue were done to confirm that tumour was completely excised. The individualized therapy was performed according to pathologic examination and clinical stage. All patients were followed up regularly. Results 111 patients with early stage breast cancer received breast-conserving surgery and all had good curative effect except one patient had a local recurrence during the follow-up. Conclusions Operative incision on normal breast tissue 1 cm from the turnout edge and frozen section of the surgical margin tissue are two crucial procedures to ensure the success of breast-conserving surgery and increase the life quality of patient with breast cancer.
出处
《中华内分泌外科杂志》
CAS
2009年第6期378-380,共3页
Chinese Journal of Endocrine Surgery
关键词
乳腺癌
保乳手术
标本切缘
Breast cancer
Breast-conserving surgery
Surgical margin
