摘要
目的 探讨 、 期乳腺癌的外科治疗方法。方法 对 12 0例 、 期乳腺癌的外科治疗资料进行总结 ,并随访疗效。结果 行改良根治术的 88例 期患者总生存率为 84.1% ,无复发生存率为 79.5 %。行根治术的 2 0例 期患者总生存率为 80 % (χ2 =0 .196 ,P>0 .0 5 ) ,无复发生存率为 70 % (χ2 =0 .85 9,P>0 .0 5 )。对孤立远处转移的 期患者采用根治性外科治疗 ,取得了较好效果。结论 期乳腺癌应以外科治疗为主 ,多选择改良根治术。对孤立远处转移的 期患者 ,仍应采用根治性手术治疗。
Objective To discuss the surgical therapy about stage Ⅲand Ⅳ breast carcinoma. Method Therapeutic data of 120 patients with breast carcinoma on stageⅢor Ⅳ was summarized,and the patients were followed up.Results The overall survival rate(OS) of 88 stage Ⅲ patients who received modified radical mastectomy was 84.1%,relapse-free survival rate(RFS) was 79.5%,but in 20 stage Ⅲ patients who received radical mastectomy,the OS and RFS were 80% and 70% respectively.The stage Ⅳpatients who had isolated metastasis were treated by radical surgical therapy,the effect was better.Conclusions The stageⅢ patients with breast carcinoma should be mostly treated by surgical therapy,and modified radical mastectomy should be the initial choose. The stage Ⅳpatients who had isolated metastasis should be treated by radical surgical therapy. [
出处
《临床外科杂志》
2000年第5期268-269,共2页
Journal of Clinical Surgery
关键词
乳腺癌
外科手术
治疗
Breast carcinoma
Surgical therapy
