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目的:探讨乳腺癌术后局部淋巴结转移患者经动脉灌注化疗及栓塞术的可行性和疗效。方法:对8例乳腺癌术后局部淋巴结转移患者采用经患侧锁骨下动脉及其分支灌注化疗,3例同时行选择性锁骨下动脉分支栓塞术。结果:5例患者化疗后肿块缩小,患侧上肢症状缓解;2例无变化;1例肿块增大,上肢症状加重。结论:经动脉灌注化疗及栓塞术是治疗乳腺癌术后局部转移的一种有效方法。
Objective: To investigate the feasibility and efficacy of transcatheter arterial chemoembolization and embolization in patients with locally advanced lymph node metastasis after breast cancer. Methods: Eight patients with postoperative local lymph node metastasis of breast cancer were treated with ipsilateral subclavian artery and its branch infusion chemotherapy, and 3 patients underwent selective subclavian artery branch embolization. Results: In 5 patients, the size of the tumor was reduced and the symptoms of upper limbs were relieved. There was no change in 2 patients. The mass of one patient increased and the symptoms of upper limbs aggravated. Conclusion: Transcatheter arterial infusion chemotherapy and embolization is an effective method for the treatment of postoperative local metastasis of breast cancer.