CAJ | 학술논문

目的探讨保留乳房的乳腺癌切除术如何确定标本边缘.方法选择符合保留乳房标准的乳腺癌111例,实施保乳手术,手术标本边缘按照肿瘤周围1cm正常组织切除.术后根据病理、临床分期制定个体化的综合治疗,定期随访患者局部和全身情况.结果 111例乳腺癌符合保乳手术治疗标准,实施了保乳手术治疗并能接受定期随访,1例出现局部区域复发.结论按照肿瘤周围1cm正常组织切除,取其左、右、上、下、基底5个面作冰冻切片,证实标本边缘无肿瘤浸润.绝大多数患者可获满意的美容效果,提高了早期乳腺癌患者的生存质量.
목적 탐토보류유방적유선암절제술여하학정표본변연.방법 선택부합보류유방표준적유선암111례,실시보유수술,수술표본변연안조종류주위1cm정상조직절제.술후근거병리、림상분기제정개체화적종합치료,정기수방환자국부화전신정황.결과 111례유선암부합보유수술치료표준,실시료보유수술치료병능접수정기수방,1례출현국부구역복발.결론 안조종류주위1cm정상조직절제,취기좌、우、상、하、기저5개면작빙동절편,증실표본변연무종류침윤.절대다수환자가획만의적미용효과,제고료조기유선암환자적생존질량.
Objective To discuss how to determine the operative margin in breast-conserving surgery in patient with early-stage breast cancer. Methods The breast-conserving surgery was performed on 111 patients with early-stage breast cancer who met the indication of breast-conserving. The operative incision was performed on normal breast tissue 1cm from the tumour edge and then the frozen sections of the surgical margin tissue were done to confirm that tumour was completely excised. The individualized therapy was performed according to pathologic examination and clinical stage. All patients were followed up regularly. Results 111 patients with early stage breast cancer received breast-conserving surgery and all had good curative effect except one patient had a local recurrence during the follow-up. Conclusions Operative incision on normal breast tissue 1cm from the tumour edge and frozen section of the surgical margin tissue are two crucial procedures to ensure the success of breast-conserving surgery and increase the life quality of patient with breast cancer.