论文部分内容阅读
目的 评价早期乳腺癌保乳综合治疗的疗效。方法 保乳组 92例 ,行保留乳房的肿瘤切除加腋窝淋巴结清扫术 ;对照组 60例 ,行乳癌改良根治术。术后给予放疗、全身化疗和 /或内分泌治疗。结果 平均随访 5 7个月 ,保乳组中无局部复发病例 ,3年生存率为 97.2 % ,5年生存率为 89.3 % ,远隔脏器转移率为 6.5 % ;对照组局部复发 2例 ,3年生存率为 97.5 % ,5年生存率为90 .1% ,远隔脏器转移率为 5 .0 % ,两组各指标对比无明显差异 (P >0 .0 5 )。结论 早期乳腺癌采用保乳综合疗法 ,可以达到与根治术相似的治疗效果 ,可作为首选方法
Objective To evaluate the efficacy of comprehensive breast-conserving treatment for early breast cancer. Methods breast-conserving group of 92 patients underwent breast resection plus axillary lymph node dissection; control group of 60 patients underwent modified radical mastectomy. Postoperative radiotherapy, systemic chemotherapy and / or endocrine therapy. Results The mean follow-up was 57 months. No local recurrence was observed in the breast-conserving group. The 3-year survival rate was 97.2%, the 5-year survival rate was 89.3%, and the distant organ metastasis rate was 6.5%. In the control group, The 3-year survival rate was 97.5%, the 5-year survival rate was 90.1% and the distant organ metastasis rate was 5.0%. There was no significant difference between the two groups (P> 0.05). Conclusions Breast-conserving therapy combined with radical mastectomy can achieve the same therapeutic effect as radical mastectomy, which can be used as the preferred method