Modified radical mastectomy clinical analysis of 30 cases.docVIP

 PAGE \* MERGEFORMAT 11 Modified radical mastectomy clinical analysis of 30 cases Paper Keywords modified radical mastectomy Abstract Objective: To explore the modified radical mastectomy of the clinical efficacy. Methods: A retrospective analysis of 30 cases of breast cancer, the size of the purposes of reservation chest muscle the therapeutic effect of modified radical mastectomy. Results: 30 patients with postoperative skin flap necrosis in 2 cases (6%), subcutaneous fluid in 3 cases (10%), upper limb lymphedema in 1 case (3%), breast muscle contracture associated with ipsilateral upper arm movement disorders and in 1 case ( 3%), 3-year survival rate was 81%, 5-year survival rate was 62%. Conclusion: the standard operation and proper treatment of early postoperative chemotherapy, radiotherapy and combined therapy can reduce complications, prevention of recurrence and metastasis, enhance the long-term efficacy and survival. Materials and methods January 2001 ~ December 2005 Breast Cancer I, II patients with 30 cases, all females, aged 35 to 78 years, mean 51.3 years, with 40 years of age in 4 cases (13%), 41 ~ 60 years old 16 cases (55%), 61 ~ 70 years old in 7 cases (23%), 71 over the age of 3 cases (10%). The distribution of cancer were unilateral, which left 16 patients (55%), the right in 14 cases (45%). Breast Cancer I, 6 (20%), II Phase 24 cases (80%),. Surgical key points: ① incision: According to the tumor site, and breast size, shape design. Can be used horizontal crescent-shaped, longitudinal fusiform incision, incision should be more than 3cm away from tumor edge. ② free flap: skin incision, the flap preferably electric knife, not only to make a clean surgical field, but also conducive to tumor-free operation. Flap thickness of no reservations or to retain the thin layer of adipose tissue is appropriate [1], free range with Halsted radical mastectomy. ③ removal Breast: Self-start within the next up, will b