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目的:探讨不予放射治疗局部切除方法治疗乳腺导管原位癌的临床疗效。方法:本文回顾性分析了我院自2003年5月至2008年4月所收治的101例乳腺导管原位癌患者,均采用局部切除方法治疗,并且不予放射治疗,根据病情分别行单纯乳房局部切除术30例、改良根治术28例、标准根治术31例、扩大根治术12例。结果:全组患者11例(10.89%)患者出现了术后的复发,复发患者均再次进行了局部或是全部的乳房切除术,并且在再次随访的过程中均没有出现复发和死亡。3年生存率100%(101/101),5年生存率97.03%(98/101)。结论:不予放射治疗局部切除方法治疗乳腺导管原位癌患者的康复与复发率的降低具有积极效果,且相对于放射治疗临床医疗费用与副作用较小,值得未来进一步临床推广。
Objective: To investigate the clinical efficacy of local radiotherapy without excision of ductal carcinoma in situ. Methods: This paper retrospectively analyzed 101 cases of ductal carcinoma in situ from May 2003 to April 2008 in our hospital. All patients underwent local excision and were not given radiotherapy. According to the condition, simple breast Local resection in 30 cases, modified radical mastectomy in 28 cases, 31 cases of standard radical mastectomy, enlarged radical mastectomy in 12 cases. Results: All the patients in 11 patients (10.89%) had postoperative recurrence. The patients underwent either partial or total mastectomy again without recurrence or death during follow - up. The 3-year survival rate was 100% (101/101) and the 5-year survival rate was 97.03% (98/101). Conclusion: Radiotherapy partial excision of breast duct carcinoma in situ in patients with rehabilitation and recurrence rate reduction has a positive effect, and relative to the radiation treatment of clinical costs and side effects are small, worthy of further clinical promotion in the future.