论文部分内容阅读
目的:探讨新辅助化疗对局部进展期乳腺癌保乳治疗的意义。方法:40例局部进展期乳腺癌行术前新辅助化疗,化疗结束后满足保乳条件者实施保乳手术,不满足保乳条件者实施全乳房切除术;分析新辅助化疗后的保乳率及保乳手术后的局部复发率及美容效果满意度。结果:90%的患者达到保乳条件,实际实施保乳手术30例,保乳治疗者乳房外观满意率93.33%。经中位48个月(36~60个月)的随访,其局部复发率10%。结论:局部进展期乳腺癌在新辅助化疗后实施保乳治疗是可行的。
Objective: To investigate the significance of neoadjuvant chemotherapy in breast-conserving treatment of locally advanced breast cancer. Methods: Forty patients with locally advanced breast cancer undergoing preoperative neoadjuvant chemotherapy were treated with breast-conserving surgery to meet the breast-conserving condition after chemotherapy, and those who did not meet the breast-conserving conditions were given mastectomy. The rate of breast-conserving after neoadjuvant chemotherapy And breast-conserving surgery after the local recurrence rate and cosmetic satisfaction. Results: 90% of the patients reached the condition of breast-conserving milk, the actual implementation of breast-conserving surgery in 30 cases, breast-conserving treatment of breast appearance satisfaction rate of 93.33%. The median 48 months (36 to 60 months) follow-up, the local recurrence rate of 10%. Conclusion: It is feasible to treat breast cancer in locally advanced breast cancer after neoadjuvant chemotherapy.