56例乳腺癌保乳手术临床分析

Analysis of 56 cases of breast conserving surgery

目的总结保乳手术治疗早期乳腺癌临床经验及近期疗效。方法2003年1月至2009年9月采用肿块局部广泛切除加淋巴结清扫或象限切除加腋淋巴结清扫治疗单发、肿瘤直径小于3.0cm的女性乳腺癌患者56例,术后行辅助化、放疗及内分泌治疗。结果全组随访3～51个月,局部无复发或远处转移。结论早期乳腺癌患者接受保乳手术治疗可以取得满意的治疗和美容效果。

Objective To summarize the clinical experience and to evaluate the effect of breast-conserving surgery for early stage breast cancer. Methods From 2003 to 2009,56 cases of early stage breast cancer with single small（〈3cm） tumor were analyzed by breast-conserving surgery with margin and axitlary lymphnodes resection. Adjuvant chemotherapy, radiotherapy and endocrinothera- py were performed postopation. Results All the patients were followed up for 3-- 51 months without local recurrence or distantmentastasis. Conclution Breast-conserving surgery is effective in cure or comesis which is performed preferably for patients with early stage breast cancer.