保乳保腋窝手术治疗T1期乳腺癌86例分析

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Abstract Objective The observe the therapeutic effect of breast and axillary reservation operation for stage T1breast cancer.Methods The clinicaldata of86 patients with stage T1breastcancer who underwentbreastand axillary reservation operation treated in our hospitalform August 2009 to October 2014 were retrospectively analysed.The postoperative complications,the effectofbreastaesthetics and the relationship between tumor size and prognosis were analyzed.Results Surgicalincision in 86 patients with stageⅠhealing,no limb lymphedema,postoperative satisfaction effects on aesthetics ofbreast was 96.5%(83/86).The tumor diameter less than 1 cm were 40 cases(group 1),the positive rate ofsentinellymph nodes was 0(0/40);tumordiametermore than 1 cm and less than 2 cm were 46 cases(group 2),the positive rate ofsentinellymph nodes was 15.2%(7/46).There was significant difference in the positive rate of sentinellymph node between two groups(P＜0.05). Further survival analysis showed that the survival rate of the group 1 was slightly higher than that of group 2,but the difference was not statistically significant(P＜0.05).All cases were followed up for 24-87 months,the median follow-up time of 50 months,and no recurrence and metastasis were found.Conclusion Breast and axillary reservation operation in the treatment of stage T1breast cancer has good effect and few complications,which is worthy of clinical application.

Key words： Stage T1breast cancer Breast and axillary reservation operation Sentinel lymph node Aesthetic effect

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	Articles by authors
	SHI Li-bo
	WANG Wei
	YU De-hai
	TIAN Hong-yu

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SHI Li-bo,WANG Wei,YU De-hai, et al. Analysis of 86 cases of stage T1breast cancer treated with breast and axillary reservation operation[J]. 中国当代医药, 2017, 24(8): 69-71转77.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I8/69

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