辛智芳, 李明月, 刘海涛, 苏传富, 姚曙光. 局部广泛切除加带蒂背阔肌肌皮瓣重建乳房治疗ⅠⅡ期乳腺癌[J]. 中国肿瘤临床, 2004, 31(20): 1175-1177.
引用本文: 辛智芳, 李明月, 刘海涛, 苏传富, 姚曙光. 局部广泛切除加带蒂背阔肌肌皮瓣重建乳房治疗ⅠⅡ期乳腺癌[J]. 中国肿瘤临床, 2004, 31(20): 1175-1177.
Xin Zhifang, Li Mingyue, Liu Haitao, Su Chuanfu, Yao Shuguang. Local Wide Excision and Reconstruct the Breast with Vascular Pedicle Latissmus Dorsi Musculocutaneous Flap for the Treatment of Stage I and Ⅱ Breast Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2004, 31(20): 1175-1177.
Citation: Xin Zhifang, Li Mingyue, Liu Haitao, Su Chuanfu, Yao Shuguang. Local Wide Excision and Reconstruct the Breast with Vascular Pedicle Latissmus Dorsi Musculocutaneous Flap for the Treatment of Stage I and Ⅱ Breast Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2004, 31(20): 1175-1177.

局部广泛切除加带蒂背阔肌肌皮瓣重建乳房治疗ⅠⅡ期乳腺癌

Local Wide Excision and Reconstruct the Breast with Vascular Pedicle Latissmus Dorsi Musculocutaneous Flap for the Treatment of Stage I and Ⅱ Breast Cancer

  • 摘要: 目的 :探讨乳腺癌保乳手术既能彻底切除肿瘤,又能使乳房外形完好的可行性。 方法 :采用局部广泛切除加带蒂背阔肌肌皮瓣重建乳房治疗Ⅰ、Ⅱ期乳腺癌。对切缘阴性患者不行术后放疗,对切缘阳性患者行术后放疗;腋窝转移淋巴结≥4枚者行区域淋巴结放疗。 结果 :38例乳腺癌患者实施本手术,全部病例均获随访,其中,随访>5年者10例,1例于术后3年半局部复发;随访>40个月以上11例,<40个月者17例,均无复发转移。美容效果优35例占92.1%(35/38),良2例占5.26%(2/38),一般1例占2.64%(1/38)。 结论 :该手术不仅彻底切除了肿瘤,而且乳房美容效果好,绝大多数患者不需行术后放疗。局部复发率低,适用于Ⅰ、Ⅱ期乳腺癌的治疗。本术式亦可用于乳腺肉瘤及乳房良性病变切除术后乳房缺损较大影响乳房外形者。

     

    Abstract: Objective :To exsplore how to resect the tumor thoroughly in breast conserving therapy,at the same time,keep the breast in an excellent appearance;and to explore the feasibility without postoperative radiotherapy for the patients with lower recurrence risk. MethodsResults :38 patients with malignant breast tumors were performed this operation,all the patients were followed-up,among them,10 pationts were followed-up for more than 5 years,1 case was recurred at 42th month postoperation;11 cases were followed-up for more than 40 months,17 patients were less than 40 months (>10 months),without local recurrence and distant matastasis. Conclusions :This operation not only resected the tumor thoroughly,but also acquired an excellent breast cosmetic results,at the same time,most of the patients needn't postoperative radiotherapy.The local recurrence rate was lower,so it was suited for the treatment of stageI and Ⅱ breast cancer.

     

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