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目的探讨乳腺癌保乳治疗的方法、适应证及疗效。方法回顾分析17例早期乳腺癌手术资料、术后放化疗及内分泌治疗、及随访情况。结果17例保乳手术均成功,除1例术后皮瓣坏死外余术后恢复良好。1、3、5年生存率分别为100%、93.75%、87.5%,术后乳房外形及生活质量满意。结论早期乳腺癌行保乳手术治疗,术后辅以放疗、化疗及内分泌治疗,不仅可治疗肿瘤,而且能提高患者生活质量,是一种治疗早期乳腺癌比较理想的方法。
Objective To investigate the methods, indications and therapeutic effects of breast-conserving therapy for breast cancer. Methods Retrospective analysis of 17 cases of early breast cancer surgery data, postoperative radiotherapy and chemotherapy and endocrine therapy, and follow-up. Results 17 cases of breast-conserving surgery were successful, except for 1 case of postoperative flap necrosis recovered well after surgery. The survival rates at 1, 3 and 5 years were 100%, 93.75% and 87.5%, respectively. The postoperative breast appearance and quality of life were satisfactory. Conclusion Breast-conserving surgery in early stage of breast cancer can be treated with radiotherapy, chemotherapy and endocrine therapy. It can not only treat the tumor but also improve the quality of life of the patients. It is an ideal way to treat early stage breast cancer.