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本院自1985年以来,开展了乳腺癌保留乳房治疗的研究,至1993年12月共治疗45例,其中Ⅰ期22例,Ⅱ期23例。经3年、5年随访观察,复发率为7.3%(3/41),其中1例单纯乳腺复发经行乳房切除补救,5年后仍无瘤生存。乳腺复发伴肝转移、乳腺复发伴肺转移各1例,分别于3年、4年死亡。3年无瘤生存率为95.1%(39/41),5年为93.3%(28/30)。作者认为:Ⅰ、Ⅱ期乳腺癌患者中,部分病例选择性行保留乳房治疗的方案是可行的。
Since 1985, this hospital has carried out research on breast cancer preservation therapy. By December 1993, a total of 45 cases had been treated, of which 22 were in stage I and 23 in stage II. After 3 years and 5 years of follow-up, the recurrence rate was 7.3% (3/41). One case of breast recurrence was remedied by mastectomy, and the tumor survived 5 years later. Breast recurrence with liver metastases, breast recurrence with lung metastasis in 1 case, respectively, died in 3 or 4 years. The 3-year disease-free survival rate was 95.1% (39/41) and 53.3% (28/30). The authors believe that in patients with stage I and stage II breast cancer, it is feasible to selectively maintain breast treatment in some cases.