保留乳头乳癌改良根治术又称皮下乳房切除十腋窝淋巴结清扫术,近年来,在日本已被视为早期乳癌手术治疗的选择术式。作者在1995年3月至9月间应用保留乳头改良根治术治疗早期乳癌9例,报告如下。 1 病例选择参考国外文献制订了以下病例选择的条件:①肿瘤为单发,长径≤3cm,且与胸肌及表面皮肤无粘连。②肿瘤至乳晕边缘的距离(以下简称D)≥3cm。③乳头乳晕部检查无癌浸润征象,乳头无内陷、滥血或溢液,乳头乳晕皮肤无变硬、水肿、糜烂、溃疡等。④同侧腋窝无明显肿大、融合、固定的淋巴结(小的可推动 Retaining modified radical mastectomy surgery, also known as subcutaneous mastectomy ten axillary lymph node dissection, has been considered as an option for early breast cancer surgery in Japan in recent years. The authors used the modified radical mastectomy technique to treat 9 cases of early breast cancer between March and September 1995. The report is as follows. 1 case selection reference foreign literature developed the following case selection conditions: 1 tumor is a single, long diameter ≤ 3cm, and no adhesion with the pectoral muscle and surface skin. 2 The distance from the tumor to the areola’s edge (hereinafter referred to as D) ≥ 3cm. 3 Nipple and areola were examined for no signs of cancer infiltration, nipples had no invagination, excessive blood or discharge, and nipple isola skin had no hardened, edema, erosions, and ulcers. 4 No significant swelling, fusion, and fixed lymph nodes in the ipsilateral armpit (small can push