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目的探讨早期乳腺癌手术治疗的疗效。方法回顾和分析我科室1999~2006年对13例早期外上象限乳腺癌保乳手术治疗疗效,利用局部切除肿瘤和腋窝淋巴结清扫,残留腺体行阶梯状缝合,保证乳晕隆起,术后辅以化疗及放疗。结果均无局部复发及远处转移,乳房外形保持良好。结论早期乳腺癌行保乳手术是可行有效的,创伤小,并发症少,恢复快,形体改变小,生存质量高,可以与乳房切除取得同样的疗效。
Objective To investigate the efficacy of surgical treatment of early breast cancer. Methods From 1999 to 2006, we retrospectively reviewed and analyzed 13 cases of early upper quadrant breast conserving surgery in our department from 1999 to 2006. The resected tumors and axillary lymph nodes were removed by local excision. The residual glands were stepped stitched to ensure the elevation of the areola. After operation, Chemotherapy and radiotherapy. No local recurrence and distant metastasis, breast shape maintained well. Conclusion Breast-conserving surgery is feasible and effective in early breast cancer. It has less trauma, less complications, faster recovery, less physical changes and higher quality of life. It can achieve the same effect with mastectomy.