早期老年乳腺癌的保乳治疗

Breast Conservation Surgical Therapy for Breast Carcinoma of Prophase in the Aged Women

目的总结早期老年乳腺癌保乳治疗的临床疗效。方法保乳手术治疗23例早期老年乳腺癌患者,其中Ⅰ期7例,ⅡA期12例,ⅡB期4例,术中切除距肿块边缘2 cm以上乳腺,术后予放疗、化疗及激素治疗。结果随访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(17.4%),良16例(69.6%),一般2例(8.7%),差1例(4.3%),总优良率87.0%。结论保乳治疗早期老年乳腺癌具有机体创伤小、组织器官破坏少、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 results of the breast conserving surgery for early stage breast cancer in the old women.Methods 23 cases of breast cancer with 7 of stage Ⅰ,13 of ⅡA and 4 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 All the cases were followed up for 2 to 5 years,3.5 years in average.Harris cosmetic evaluation standard was used.The breasts were scored cosmetically as excellent in 4 cases（17.4%）,good in 16 cases（69.6%）,fair in 2 cases（8.7%） and worse in 1 case（4.3%）.The total fineness rate was 87.0%.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 the aged women.With the strictly handling o f the indication,it does not increase the risk of recurrence and metastasis.