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本文分析我院1985~1989年198例Ⅱ、Ⅲ期乳腺癌的治疗情况。治疗方法为单纯手术54例,手术+放疗72例,手术+放疗+化疗72例。在局部控制方面,加放疗的均能显示降低局部复发率,且复发时间明显延迟。化疗对局部控制率无明显影响。术后锁骨上复发机率高,故术后锁骨上放疗有价值。在远处转移方面,化疗比放疗和手术均能明显降低转移率。在5年生存率方面三者呈递增关系,但无统计学差异。本文认为放疗能明显提高局控率,略提高生存率。化疗明显降低转移率也能提高生率。
This article analyzes the treatment of 198 cases of stage II and stage III breast cancer in our hospital from 1985 to 1989. The treatment was simple surgery in 54 cases, surgery + radiotherapy in 72 cases, surgery + radiotherapy + chemotherapy in 72 cases. In terms of local control, addition of radiotherapy can reduce the local recurrence rate, and the recurrence time is significantly delayed. Chemotherapy had no significant effect on the local control rate. Postoperative supraclavicular recurrence rate is high, so postoperative supraclavicular radiotherapy is valuable. In distant metastases, chemotherapy can significantly reduce the metastatic rate compared with radiotherapy and surgery. In the five-year survival rate, the three individuals showed an increasing relationship, but there was no statistical difference. This article believes that radiotherapy can significantly increase the rate of control and slightly increase the survival rate. Chemotherapy can significantly reduce the metastasis rate and increase the rate of delivery.