Early breast cancer can take breast-conserving

Europe and the United States breast-conserving surgery accounts for about half of breast cancer surgery, Peking University People’s Hospital, 148 cases of breast surgery for breast-conserving surgery analysis showed that adhere to standardized tumor resection, postoperative radiotherapy and systemic therapy.

Breast Surgery, Peking University People’s Hospital, Cheng Lin, Qiao Xinmin of 11 doctors, through the 148 cases of breast-conserving surgery cases of summary and analysis, pointing out that breast-conserving surgery and radical mastectomy was no significant difference in survival rates; standardized tumor surgery and adhere to postoperative radiotherapy, systemic therapy is the key to successful breast-conserving treatment; surgery, most patients chest in good shape. But doctors have also pointed out that not all breast cancer patients are suitable for breast-conserving surgery.

Europe and the United States breast-conserving surgery accounts for about half of breast cancer surgery, the domestic acceptance of breast-conserving surgery for breast cancer patients was also small, mainly doubt whether we could eradicate the fear that local recurrence.

Breast Surgery, Peking University People’s Hospital, 11 doctors in the “breast conserving surgical treatment of 148 cases of analysis” that the traditional treatment of breast cancer has been using a radical mastectomy surgery, but with in-depth study of breast cancer, medicine has recognized the that it is a systemic disease, surgical resection alone can not obtain the best effect. 60-70 years since the 20th century onwards, radiation therapy under the conditions of technological progress, the medical industry has gradually formed a breast-conserving surgical treatment. This treatment has been developed in Europe and the United States accounted for almost half of breast cancer surgery, but at home in patients receiving breast-conserving surgery was small, mainly due to the patient is suspected to this method can completely cure, and about the local recurrence of tumors.

The use of standardized excision, postoperative breast radiotherapy and systemic treatment of breast cancer treatment available to the ideal

In fact, large-scale clinical trials and studies have shown that breast-conserving surgery and radical mastectomy was no significant difference in survival rate. People’s Hospital in this study, the local recurrence rate was 2.7% (4 / 148), lower than the literature reported. People’s Hospital, doctors believe that removal of the integrated use of standardized postoperative breast radiotherapy and systemic treatment, access to good therapeutic effect.

Standardized resection is the case for different patients to take a different removal methods of statistics in the People’s Hospital, 148 patients, 34 cases had quadrantectomy plus axillary lymph node dissection, there are 109 cases of extensive local tumor excision plus axillary lymph node dissection The remaining five cases had tumor only wide excision. Before surgery, surgical patients in both conducted a series of stringent checks, method selection.

Summary People’s Hospital patients in the treatment of cases the reasons for low rate of local recurrence, doctors believe that regular whole milk and postoperative radiotherapy and increase the amount of exposure related to postoperative systemic adjuvant therapy also plays an important role. Because breast cancer is a systemic disease, if not for systemic adjuvant therapy, most likely to occur after local recurrence or distant metastasis.

The majority of patients with breast-conserving surgery to maintain good shape, but not all breast cancer patients are suitable for breast-conserving surgery

Through the analysis of 148 cases, doctors believed that patients with less severe diseases, such as early stage breast cancer patients and some patients with locally advanced, for breast-conserving surgery results were better. Experts also pointed out that breast-conserving surgery for patients and hospitals need to meet certain conditions, such as tumor diameter of not more than 3 cm tumor size and the proportion of moderate breast, the patient had reservations about the aspirations of the breast, the hospital with radiation therapy equipment and technology .

Conserving one year after comprehensive treatment, according to a medical evaluation criteria, People’s Hospital, carried out on 108 patients with breast shape assessment, most patients maintain good breast shape, of which accounted for 32.4% excellent shape, good for 49.1%, and poor for 18.5%.