95例乳腺癌保乳治疗近期观察

The early results of breast-conserving therapy in ninety-five patients of primary breast cancer

目的 探讨乳腺癌保乳治疗的方法与疗效。方法 95例Ⅰ～Ⅱ期原发性乳腺癌 ,施行局部扩大切除并腋窝淋巴结清扫 ,手术后患侧乳房接受放射治疗。结果 手术后 6个月随访 ,患者本人对保留乳房的满意率 10 0 % ,十分满意者为 92 %。经随访 2～ 5 1个月 ,平均随访 17个月 ,仅 1例同侧乳腺局部复发 ,2年局部复发率 1 4 %。无远处转移和死亡病例。结论 Ⅰ～Ⅱ期乳腺癌实施保乳治疗 ,近期疗效满意 ,远期效果有待长期随访观察。

Objective To discuss the effects of breast-conserving therapy in Chinese women with early primary breast carcinoma. Methods Ninety-five patients with stage I to Ⅱ primary breast cancer were operated with wide local excision and axillary lymph node dissection. After operation, the radiation therapy was done on the whole breast. Results Breast conservation surgery was taken successfully in ninety-five patients. Six months after operation,the approval rate for their breast was 100% by themselves. Ninety-two per cent of them were very satisfactory. After a median follow-up of 17 months (range 2～51 months),only one patient suffered from ipsilateral breast tumor relapse. The two years local relapse rate was 1.4%. There were no cases of distant relapse and death. Conclusions The early results of breast-conserving therapy are satisfactory for stage I to Ⅱ primary breast cancer. The long-term follow-up is needed for the final outcome.