论文部分内容阅读
随着保乳手术的开展及保乳病人的增多,相应出现了一些保乳术后局部复发的病例,而切缘阴性或阳性、术后全乳照射与否、年龄、病理类型、病例的选择、新辅助化疗后保乳术切除范围、SLNB(前哨淋巴结活检)等都与保乳术后局部复发有关。因此确保严格选择适应症病例、手术切缘阴性、术后全乳照射、病理类型为非EIC(广泛导管内癌成分)、新辅助化疗后手术范围的准确以及提高SLNB的准确率都可降低保乳手术的局部复发。本文在此就乳腺癌保乳术后局部复发的相关因素进行探讨。
With the development of breast-conserving surgery and the increase of breast-conserving patients, there have been some cases of local recurrence after breast-conserving surgery, while the negative margins or positive margins, postoperative whole-breast irradiation or not, age, pathological type and case selection , Neoadjuvant chemotherapy after excision range, SLNB (sentinel lymph node biopsy) and so on with local recurrence after breast-conserving surgery. Therefore, to ensure strict selection indications, negative surgical margins, postoperative whole milk irradiation, pathological type of non-EIC (extensive ductal carcinoma components), neo-adjuvant chemotherapy after the scope of the operation accuracy and improve the accuracy of SLNB can be reduced Local recurrence of breast surgery. This article in breast breast cancer after local recurrence related factors are discussed.