摘要
[目的]观察乳腺癌保乳手术加放疗的临床疗效及美容效果。[方法]97例乳腺癌行保乳手术后接受术后放疗,用6MV-X射线照射全乳房,采用乳房切线野照射,每次2 Gy,每周照射5次,至DT 50Gy/25f/35d。瘤床区加量采用9～12 MeV电子线,每次2 Gy,共5次,DT 10 Gy。有腋窝淋巴结转移,给以同时行锁骨上区预防性照射DT 50Gy/25f/35d。[结果]中位随访时间为60个月(30～72个月),总生存率为97.3%,局部复发率为3.21%,无病生存率为94.7%。乳房美容效果好,优良率达93.8%。[结论]乳腺癌保乳手术加放疗可以获得满意的控制率和美容效果。
[ Objective ] To evaluate the effectiveness and the cosmetic result of radiotherapy after breast conserving surgery for early breast cancer. [ Methods] A total of 97 early invasive breast carcinoma in women who had undergone previous breast - conserving surgery were treated with postoperative irradiation. [ Results ~ The median follow - up time was 60 months ,the overall survival rate was 97.3% and the locoregional recurrence rate was 3.21% ,as calculated using the Kap- lan - Meier method. Excellent and good cosmetic result was noted in 91 patients. [ Conclusion] Breast - conserving therapy, consisting of breast - conserving surgery followed by breast radiotherapy, has therefore become the standard regimen for treatment of early invasive breast cancer.
出处
《大连医科大学学报》
CAS
2012年第3期287-289,共3页
Journal of Dalian Medical University
关键词
乳腺癌
放射治疗
保乳手术
美容效果
early breast cancer
radiotherapy
conservative surgery
cosmetic result
