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乳腺癌术后辅助治疗疗效分析[J]. 肿瘤防治研究, 2000, 27(05): 398-399. DOI: 10.3971/j.issn.1000-8578.2432
引用本文: 乳腺癌术后辅助治疗疗效分析[J]. 肿瘤防治研究, 2000, 27(05): 398-399. DOI: 10.3971/j.issn.1000-8578.2432
An Analysis of Effect Postoperative Adjuvant Therapy for Breast Cancer[J]. Cancer Research on Prevention and Treatment, 2000, 27(05): 398-399. DOI: 10.3971/j.issn.1000-8578.2432
Citation: An Analysis of Effect Postoperative Adjuvant Therapy for Breast Cancer[J]. Cancer Research on Prevention and Treatment, 2000, 27(05): 398-399. DOI: 10.3971/j.issn.1000-8578.2432

乳腺癌术后辅助治疗疗效分析

An Analysis of Effect Postoperative Adjuvant Therapy for Breast Cancer

  • 摘要: 目的 探索乳腺癌根治术后患者病期、淋巴结情况及治疗方法对生存率的影响。方法对比分析我科收治的乳腺癌术后Ⅱ期110例和Ⅲ期90例,采用术后放疗、术后化疗及术后放疗加化疗进行治疗。结果 Ⅱ期和Ⅲ期乳腺癌患者术后放疗、术后化疗+放疗局部复发率均低于术后化疗(P<0.05);Ⅲ期患者远处转移率术后放疗高于术后化疗或术后放疗+化疗(P<0.05);Ⅱ期乳腺癌腋窝淋巴结转移数≥4个,生存率下降;Ⅲ期乳腺癌患者随着N的升级,五年生存率逐渐降低。结论 乳腺癌术后放疗可以减少局部复发率;Ⅲ期乳腺癌术后化疗可降低远处转移率;淋巴结转移数影响5年生存率。

     

    Abstract: Objective To study the effect of stage, Iymph nodes and therapy methods on the survival rate for breast cancer after radical operation. Methods Treatment results were compared between 110 stage Ⅱ and 90 stage Ⅲ breast cancers who received postoperative radiotherapy(RT),Chemotherapy (CT)and chemotherapy plus radiotherapy (CRT) in our department. Results The local recurrence rates for stage Ⅱ and stage Ⅲ with RT group and CRT group compared with CT group have significance (P<0.05).Distance metastasis rates for stage Ⅲ patients with CT group and CRT group compared with CT group have significance (P<0.05).The 5-year survival rates for patients with ≥4 positive axillary's Iymph nodes in stage Ⅱ decrease (P<0.05),The 5-year survival rates of stage Ⅲ breast cancer declined gradually with increase of the N. Conclusion Postoperative RT of breast cancer could reduce the local recurrence rates.Postoperative CT for stage Ⅲ breast cancer could reduce distance metastasis rates.Axillary's Iymph nodes effect on the 5-year survival rates.

     

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