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目的总结保乳手术治疗早期乳腺癌临床经验及观察近期疗效。方法 2000年1月至2009年12月采用肿块局部广泛切除加腋淋巴结清扫或象限切除加腋淋巴结清扫治疗临床单发的、肿瘤直径小于3.0cm、无区域淋巴结转移的女性乳腺癌患者51例,手术切缘距瘤缘2.0～3.0cm,术后行辅助放疗、化疗及内分泌治疗。结果全组随访3～84个月,局部无复发或远处转移。结论早期乳腺癌患者接受保乳手术治疗可以取得满意的临床和美容效果。
Objective To summarize the clinical experience of breast conserving surgery for early breast cancer and to observe the short-term curative effect. Methods From January 2000 to December 2009, 51 cases of female breast cancer with tumor diameter less than 3.0 cm and no regional lymph node metastasis were treated with local mass excision plus axillary lymph node dissection or quadrant excision plus axillary lymph node dissection. Surgical margin from the edge of the tumor 2.0 ~ 3.0cm, postoperative adjuvant radiotherapy, chemotherapy and endocrine therapy. Results The whole group was followed up for 3 to 84 months without local recurrence or distant metastasis. Conclusion Breast-conserving surgery in patients with early breast cancer can achieve satisfactory clinical and cosmetic results.