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采用肿瘤局部切除加放疗对31例直径≤4cm的早期乳腺癌进行了保留乳房治疗。近期随访(平均37.9月)结果表明,与同期35例行根治术的早期乳腺癌(直径≤4cm)患者相比较,两种方法治疗的患者术后3年复发转移率及死亡率(局部切除组为:ll.5%和3.8%,根治术组为:14.2%和0%)均无显著性差别(分别P<0.05)。本组的结果显示,对直径≤4cm的早期乳腺癌,肿瘤切除加放疗和根治术具有类似的近期效果。
Thirty-one cases of early-stage breast cancer with a diameter of ≤ 4 cm were treated with reserved breasts by local tumor resection and radiotherapy. The results of recent follow-up (mean 37.9 months) showed that compared with 35 patients undergoing radical mastectomy for early breast cancer (diameter ≤ 4cm), the recurrence metastasis rate and the mortality rate of patients treated with the two methods at 3 years after surgery (local The resection group was: ll.5% and 3.8%, and the radical surgery group was: 14.2% and 0%) There was no significant difference (P<0.05, respectively). The results of this group show that for early breast cancers with a diameter of ≤ 4cm, tumor resection plus radiotherapy and radical surgery have similar short-term effects.