CAJ | 학술논문

目的对早期乳腺癌保乳治疗的手术效果进行分析,探讨乳腺癌保乳治疗的手术禁忌证及技术要求.方法回顾性分析1995至2007年行保乳治疗的172例早期乳腺癌的临床特点及疗效.结果保乳治疗手术并发症发生率为8.1%.术后76.7%患者乳房外形效果良好,局部再发率为4.2%,3年和5年生存率分别为95.7%和91.5%.结论选择早期乳腺癌中部分病例积极推行保乳治疗不影响患者的生存率,手术并发症少,局部复发率低,在生理上、心理上均改善了患者的生存质量.但残乳再发癌的发病机理及预防有待进一步研究.
목적 대조기유선암보유치료적수술효과진행분석,탐토유선암보유치료적수술금기증급기술요구.방법 회고성분석1995지2007년행보유치료적172례조기유선암적림상특점급료효.결과 보유치료수술병발증발생솔위8.1%.술후76.7%환자유방외형효과량호,국부재발솔위4.2%,3년화5년생존솔분별위95.7%화91.5%.결론 선택조기유선암중부분병례적겁추행보유치료불영향환자적생존솔,수술병발증소,국부복발솔저,재생리상、심리상균개선료환자적생존질량.단잔유재발암적발병궤리급예방유대진일보연구.
Objective To investigate the effects of breast-conserved therapy in early stage breast cancer and to expeore the contraindication and technical requirements. Methods The clinical features and therapeutic results of 172 patients with early breast cancer treated during1995-2007 were retrospectively analyzed. Results The rate of operative complications in breast-conserving therapy was 8.1%. The follow-up results indicated that 76.7% of the patients showed a good cosmetic result after the therapy and 4.2% of the patients suffered from local recurrence. The 3- and 5-year survival rate were 95.7%and 91.5% respectively. Conclusions Breast-conserved therapy is a feasible treatment in appropriately selected patients with early breast cancer. It has fewer complications and local recurrence, but better living quality. The causes of local recurrence and their prevention should be further studied.