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目的 总结乳腺癌保留乳房手术及哨兵淋巴结活检的临床经验。方法 10 3例乳腺癌患者 ,肿块局部扩大切除 2 3例 ,乳腺区段切除加腋淋巴结清扫 80例。全部病例均行哨兵淋巴结活检。结果 活检与术后病理对照 ,准确性 95 .8% ,假阴性率 14 .1% ,假阳性率 0。随访 10个月至7年 ,2例 4年内复发 ,7例 5年内复发 ,10例 7年内复发。复发者均改行乳腺癌改良根治术。结论 早期乳腺癌中 ,行保留乳房的乳腺癌手术可行。术后应进行根治性放疗及全身化疗 ,可获得满意效果。
Objective To summarize the clinical experience of breast conserving breast surgery and sentinel lymph node biopsy. Methods Totally 23 patients with breast cancer were enrolled in this study. Twenty-three cases were partially enlarged and resected, and 80 cases were excised with axillary lymph node dissection. All cases were sentinel lymph node biopsy. Results Biopsy and postoperative pathology control, accuracy of 95.8%, false negative rate of 14.1%, false positive rate of 0. Followed up for 10 months to 7 years, 2 cases relapsed within 4 years, 7 cases relapsed within 5 years, 10 cases relapsed within 7 years. Recurrences were switched to modified radical mastectomy. Conclusion In early stage of breast cancer, breast cancer surgery is feasible. After radical radiotherapy and systemic chemotherapy should be carried out to obtain satisfactory results.