摘要：目的 总结乳腺癌保留乳房手术及哨兵淋巴结活检的临床经验。 方法20例乳腺癌患者，肿块局部扩大切除4例，乳腺区段切除加腋淋巴结清扫16例。全部病例均行哨兵淋巴结活检。 结果活检与术后病理对照，准确性达95%。 结论早期乳腺癌中，行保留乳房的乳腺癌手术是可行的，术后应进行根治性放疗及全身化疗。

 关键词 乳腺癌 保乳手术 哨兵淋巴结

 Abstract Purpose To srudy the parreim stage I and stage Ⅱberast by breast-preserving operarion and sentinel lymph node biopsy. Methods103 parinets with operable breasr cancer were treated in hospital by conservative surgery and radiation therapy and adjustmenr shemothera-py,Results23 patients were received segmental mastectomy,and 80 patienrs were received segmental mastecrom plus axilary diddection,All the patients received sentinel lymph node biopsy,the rate of accu-racy was 95.8%.Conclusions Women with stage I and dtage Ⅱ breast cancer should bave the option kftreatment b breast-preserving operation and received sentinel lymph xanthene h node diopsyinstead of axilary lymph node dissection.

 Key word breast cancr;breast-preserved operation;sentinel lymph node

 保留乳房的乳腺癌手术是近30年来乳腺外科治疗的主要进展,它包括乳腺肿瘤局部扩大切除或象限切除,腋淋巴结清扫,术后辅助放疗、化疗、内分泌治疗。资料证明保乳手术既能获得与根治性全乳切除术一样的治疗效果，又保留乳房的形态，给女性患者来了实在的益处。乳腺癌外科治疗理念已从局部解剖为基础、单一追求手术根治转向以肿瘤生物学现象为指导的综合治疗时代,这更充分地体现人类对生命质量的重视。

 1.资料和方法

 1.1一般资料

 1.1.1 本组资料20例,全部为女性.年龄19～68岁，平均48.6岁。左侧8例,右侧12例.肿瘤位于乳腺外上象限14例,外下象限4例.内上象限1例,内下象限1例.肿瘤直径均, 百拇医药(孙晓宇)
 百拇医药网 http://www.100md.com/html/paper/1008-6919/2006/04/40.htm