摘要
本文复习了我院72例改良根治术治疗的乳腺癌患者,与同时期Halsted根治术73例作比较。MRM组5年、10年生存率分别为81.04%和50.59%,RM组分别为75.57%和55.33%。经统计学处理,两组无显著性差异(P>0.05)。同时对腋淋巴结清除数目与局部复发率分别进行比较,两组也无显著差异。作者认为对可手术的乳腺癌,除非肿瘤累及胸大肌或腋淋巴结转移较大而影响手术操作外,MRM为可行术式。
This article goes over 72 cases undergoing Auchincloss modified radical mastectomy (MRM)and 73 cases in Halsted radical mastectomy(RM).The 5 and 10 years survival rates were 81.04% and 50.59% im MRM goup,compared with 75.57% and 55.33% in RM group.There were no statistically significant difference in the long-lerm survival ratio between the two groups (P>0.05),also in the lymph axillary rode dissetion and the relapse rate.The author believes that MRM should be considered in the treatment of breast cancer unless in the case with major pectorial muscle involvement or large metastatic axillary nodes.