经动脉化疗栓塞术治疗复发性乳腺癌的初步观察

The Treatment of Recurrence Breast Cancer on Chest Wall by Transcatheter Arterial Chemo-embolization

目的:研究胸壁复发性乳腺癌的介入治疗.材料;5例乳腺癌根治术后同侧胸壁复发患者.方法:经患侧内乳动脉,外胸动脉和胸背动脉造影,确定复发灶的供血动脉后于靶动脉内注入碘油-ADM 混悬液和明胶海绵-MMC 混合物.结果:3例完全缓解,2例部份缓解.除2例于2年和1.5年时死于肝转移外,余3例追踪1年以上,仍健在.结论 TACE 是胸壁复发性乳腺癌治疗的好方法.

TACE was carried out on 5 patients with recurrence breast cancer on chest wall.The materials of TACE were ADM and MMC that individually im- mobilized on lipiodol and absorbable gelatin materials.The results were as follows: 1)Each recurrence cancer showed marked necrosis within 2 weeks after TACE 2) Pathology eomfirmed the excellent efficacy of TACE against both recurrence can- cers and metastatic lymph node tumors 3)Side effects due to this treatment were few,compared with other forms of cancer chemotherapy,we conclude that TACE has a great potential for the treatment of locally recurrence breast cancer.