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目的探讨保乳手术治疗早期乳腺癌的临床疗效及适应证。方法回顾性分析我院收治的41例早期乳腺癌患者,采用肿块局部广泛切除加腋窝淋巴结清扫保乳治疗术。结果经病理检查,单纯癌11例,导管癌20例,乳头状癌6例,髓样癌4例。所有患者术后均恢复良好,乳房外观良好,术后无并发症出现,随访3～16个月,有2例因肿瘤复发转移死亡。其余患者均无局部复发和转移。结论保乳手术是治疗早期乳腺癌的主要手术方法,大大提高了女性的乳房美观和生活的信心,值得在临床中推广。
Objective To investigate the clinical efficacy and indications of breast-conserving surgery for early breast cancer. Methods Retrospective analysis of 41 cases of early breast cancer admitted to our hospital, the use of local mass excision plus axillary lymph node dissection breast conserving treatment. Results After pathological examination, simple carcinoma in 11 cases, ductal carcinoma in 20 cases, papillary carcinoma in 6 cases, medullary carcinoma in 4 cases. All patients recovered well after operation, the appearance of breast was good and no postoperative complications occurred. The patients were followed up for 3 to 16 months, and 2 patients died of tumor recurrence and metastasis. The remaining patients no local recurrence and metastasis. Conclusion Breast-conserving surgery is the main surgical method for the treatment of early-stage breast cancer. It greatly improves the female’s breast appearance and confidence in life, and is worthy of promotion in the clinic.