摘要
目的探讨早期乳腺癌行保乳术及前哨淋巴结活检术的应用效耀。方法回顾性总结早期乳腺癌行保乳术＋前哨淋巴结活检术治疗乳腺癌18例的临床资料，所有患者采用肿瘤局部扩大切除，术后辅以化疗（除1例小管癌外）、放疗和内分泌治疗。结果本组18例，保乳均获成功，成功率100％。保乳术后乳房外形满意，其中17例共活检到前哨淋巴结，平均每例为1．8枚，检出率94．4％，阳性符合率100％。结论临床早期乳腺癌采用保乳手术加综合治疗可以取得满意的临床疗效，且美容效果良好，可作为早期乳腺癌的首选治疗方法。前哨淋巴结活检可以准确预测乳腺癌患者腋窝淋巴结状态。
Objective To summarize the feasibility of breast-conserving therapy and sentinel lymph node biopsy with eraly breast cancer. Methods Clinical datas of eighteen patients with early stage breast cancer of my hospital during August 2005 to July 2006 were analyzed. All patients were operated with wide local excision and sen- tinel lymph node biopsy. After operation, chemotherapy（ exception one ease of LCIS）, radiation therapy and endocrine therapy were done. Results All the patients were succeed. The patients were pleased with effect of the breast-conserving therapy, Among seven（een had gain sentinel lymph node biopsy, average 1.8 sentinel lymph node in each patient,positive rare of 94.4 % and positive rate of 100 %. Conclusions Breast＇conserving therapy plus combined treatment is safe and satisfactory for early breast cancer. It can be considered as .the first choice for the treatment, of patients with breast cancer in early, stage. Sentinel lymph node biopsy is extremely accurate in prediction of the lymph node status in patients with breast cancer.
出处
《中国基层医药》
CAS
2007年第1期78-79,共2页
Chinese Journal of Primary Medicine and Pharmacy
