论文部分内容阅读
1977～1990年,共5500例乳腺癌病人在PRH-IH医院接受治疗,其中796例病人817个乳腺行乳腺保留术加术后放疗。 乳腺保留术适应于乳腺X片检查肿块小于3cm,临床检查无腋窝淋巴结转移或只有一个直径小于2cm的淋巴结病人,以下情况考虑为禁忌症:巨大乳腺,乳腺较肿块体积相比相对过小,妊娠妇女,血管胶原疾病患者,乳腺X片显示广泛钙化和多发肿块。手术范围包括切除肿块和周围足够的正常组织,象限切除者392例,术后放疗用~(60)Co和6MV X线切线照射,2Gy/天, 5天/周,总量45～50Gy。70％病人行局部补充照射10～
From 1977 to 1990, a total of 5,500 breast cancer patients were treated at the PRH-IH hospital. Of the 796 patients, 817 breasts had breast retention and postoperative radiotherapy. Breast retention is suitable for breast X-ray examination of masses less than 3cm, clinical examination without axillary lymph node metastasis or only a lymph node with a diameter of less than 2cm. The following conditions are considered contraindications: huge breast, breast mass is relatively small compared to the size of the pregnancy In women with vascular collagen disease, X-rays of the mammary gland showed extensive calcification and multiple lumps. The scope of surgery included ablation of masses and adequate surrounding normal tissue, 392 cases of quadrant resection, postoperative radiotherapy with ~(60)Co and 6MV X-ray tangential irradiation, 2 Gy/day, 5 days/week, total 45 to 50 Gy. 70% of patients received local supplemental radiation