早期青年乳腺癌的保乳治疗

Conservative Surgery for Early Stage Breast Cancer in Young Women

目的总结早期青年乳腺癌保乳治疗的临床疗效。方法采用保乳手术治疗26例早期青年乳腺癌患者,其中Ⅰ期8例,ⅡA期13例,ⅡB期5例。术中切除距肿块边缘2 cm以上乳腺,术后予放疗、化疗及内分泌治疗。结果均获随访,平均3.5（2-5）年,未见复发及远处转移。采用Harris提出的四等分类法为美容评定标准,佳4例（15.4%）,良17例（65.4%）,一般4例（15.4%）,差1例（3.8%）,优良率80.8%。结论保乳治疗早期青年乳腺癌具有痛苦小、美容效果好和保存功能的优点,在严格掌握手术适应证的前提下,并不增加复发及远处转移的风险。

Objective To analyze the clinical cosmetic results of the breast conserving surgery for early stage breast cancer in young women.Methods 26 cases of breast cancer with 8 of stage Ⅰ,13 of ⅡA and 5 of ⅡB received breast conserving surgery.The tumor was exsected 2 cm of edge from the lesion.All the cases were given radiotherapy,chemotherapy and hormone treatment postoperatively.Results 26 cases were followed up for 2 to 5 years.Harris cosmetic evaluation standard was used.The breasts were scored cosmetically as excellent in 4 cases（15.4%）,good in 17 cases（65.4%）,fair in 4 cases（15.4%） and worse 1 case（3.8%）.The total fine rate was 80.8%.Conclusions It shows the advantages of little pain,good cosmetic results and good functions of the breast conserving surgery for early stage breast cancer in young women.With the strictly handling of the indication,it does not increase the risk of recurrence and metastasis.