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对本院１９８６年３月～１９９１年３月期间８９例Ⅰ期和Ⅱ期乳腺癌的随访资料进行分析。男１例，女８８例，年龄２８～７８岁，平均５４±１１岁，５１～５９岁为高发年龄组，共２９例，占３２．５％。肿瘤位于左乳４２例，右乳４７例，部位在外上象限４７例（５３％），其次为乳晕下１６例（１８％）。全组按ＵＩＣＣ的ＴＮＭ分期标准，Ⅰ期５２例，Ⅱ期３７例。Ⅰ、Ⅱ期病例占同时期全部随访病例的８２％（８９／１０８）。经典的Ｈａｌｓｔｅｄ乳腺癌根治术（ＣｌａｓｓｉｃａｌＨａｌｓｔｅｄＲａｄｉｃａｌＭａｓｔｅｃｔｏｍｙ，ＨＲＭ）５０例和改良式乳腺癌根治术（ＭｏｄｉｆｉｅｄＲａｄｉｃａｌＭａｓｔｅｃｔｏｍｇ，ＭＲＭ）３９例的临床资料比较，二组病例在肿瘤部位、大小、病理类型、临床分期以及术后化疗等情况均相似（Ｐ＞０．０５）。淋巴结转移在ＨＲＭ组稍高于ＭＲＭ组，但亦无统计学意义（Ｐ＞０．０５）。仅在年龄分布稍有差异（Ｐ＜０．０１）。ＭＲＭ组年龄偏大，可能是临床上对年龄偏大者倾向于作改良式根治术以减轻创伤对患者的打击有关。但从二组资料看来具有可比性，全组病例经５～１０年随访，除５例死亡与癌症无关外，ＨＲＭ和ＭＲＭ的５年生存率分别为８８％和８５％?
The follow-up data of 89 patients with stage I and stage II breast cancer during the period from March 1986 to March 1991 in this hospital were analyzed. There were 1 male and 88 female patients aged 28-78 years with an average of 54±11 years old, and 51-59 years old had a high-risk age group with 29 cases in total, accounting for 32.5%. Tumors were located in 42 cases of left breast and 47 cases of right breast, with 47 cases (53%) in the upper quadrant, followed by 16 cases (18%) in the areola. According to the UICC TNM staging criteria, 52 patients were in phase I and 37 in phase II. Stage I and II cases accounted for 82% (89/108) of all follow-up cases in the same period. The clinical data of 50 cases of classic Halsted radical mastectomy (HRM) and 39 cases of modified radical mastectomy (MRM) were compared. The tumor location, size, pathological type, clinical stage, and postoperative course of the two groups were compared. The chemotherapy and other conditions were similar (P>0.05). Lymph node metastasis was slightly higher in the HRM group than in the MRM group, but it was also not statistically significant (P>0.05). Only slightly different in age distribution (P <0.01). The age of the MRM group is too large, which may be related to the tendency of clinically older people to undergo an improved radical mastectomy to reduce the impact of trauma on the patient. However, the data from the two groups appear to be comparable. After 5 to 10 years of follow-up, the 5-year survival rates of HRM and MRM were 88% and 85%, respectively.