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目的:探讨乳腺癌保留乳房治疗的适应证及预后因素。方法:回顾性分析76例早期乳腺癌保留乳房手术加根治性放疗的临床资料。结果:本组76例无手术及放疗并发症、美容效果满意。其1、3、5年生存率分别为100%、96.6%、89.3%,局部复发率为2.6%,与根治术相同。结论:选择早期乳腺癌病例施行保留乳房,肿瘤完整切除加根治性放疗的方案是可行的,其具有与根治术相同的生存率,且保留乳房的外观,随着人们对乳腺癌认识的提高及治疗的规范化,此方案在乳腺癌综合治疗中的比例可望得到提高。
Objective: To investigate the indications and prognostic factors of breast conserving breast cancer. Methods: A retrospective analysis of 76 cases of breast cancer with preserved breast surgery plus radical radiotherapy clinical data. Results: The group of 76 cases without complications of surgery and radiotherapy, cosmetic satisfactory results. The 1, 3, 5-year survival rates were 100%, 96.6%, 89.3%, respectively. The local recurrence rate was 2.6%, which was the same as radical surgery. CONCLUSIONS: It is feasible to choose the method of preserving the breast, complete resection of the tumor and radical radiotherapy in the patients with early breast cancer, which has the same survival rate as the radical operation and retains the appearance of the breast. As people’s awareness of breast cancer increases and The standardization of treatment, the proportion of this program in the comprehensive treatment of breast cancer is expected to be improved.