保留乳房治疗侵袭性乳腺癌

TREATMENT OF INVASIVE BREAST CANCER BY BREAST CONSERVATIVE SURGEY

目的 :研究中国实行保留乳房手术治疗乳腺癌的可行性和这种术式成功开展并推广的可能性。方法 :回顾性分析本院 2 10例乳腺癌中的 、 期女性乳腺癌 16 8例。其中保乳手术 10例 ,手术方式为 :乳腺象限切除+术中连续冰冻辅助确定术式 ;术后处理为放疗及化疗合用 ;结果 :改良根治术与保乳手术在生存率和复发率上无显著差异 ;结论 :随早期乳癌检出率的增多及部分切除乳腺治疗早期乳腺癌手术的完善和术后工作的完备 ,病人对术后生活质量要求的提高 ,在我国逐步推广保乳手术是可能的也是很有前景的。

Objective:To study the feasibility of breast conservative surgery (BCS) for breast cancer (BC) and the possibility of its spreading in China.Methods:168 cases of female BC with stage I and Ⅱ among 210 cases of BC were studied retrospectively.Among them,10 cases were treated by BCS.The operation included segmental mastectomy plus continuous frozen section of the specimen.Radiation plus chemotherapy was used postoperatively.Results:There was no significant difference in the survival rate and recurrence rate between modified radical mastectomy and BCS.Conclusion:Along with the increase of detection on early breast cancer,the spreading of BCS in our country is promising.