乳腺癌外科治疗及进展.pdfVIP

· 1812· 8年6且第14卷第12期 Medical Recapitulate，Jun 2008．Vo1．14．N0．12 乳腺癌外科治疗及进展 许 新(综述)，张俊华(审校) (辽宁医学院附属第一医院普外科，辽宁 锦州121001) 中图分类号：R737．9 文献标识码：A 文章编号：1006-2084(2008)12-1812--04 摘要：目前，乳腺癌外科术式趋向于保守的方式，而其术后施行有计划的综合治疗变得愈来愈突 病灶，对可能产生转移的途径和 出和重要。本文回顾乳腺癌外科治疗历史及近期乳腺癌外科治疗的新进展，认为随着人们对乳腺癌 部位必须予以预防性扫除”的病 生物学特性认识的不断进步及早期病例诊断技术的不断提高，乳腺癌的外科治疗正经历着一个从大 理学观点成为当时的时尚。由于 范围的根治手术到改良根治术加全身综合治疗到保乳手术加全身综合治疗的转变过程。 在观察到腋窝淋巴结阳性时， 关键词：乳腺肿瘤；外科治疗；根治术；保乳治疗 25％左右的患者内乳淋巴结也呈 The Surgical Therapy of Breast Cancer and Advancement XU n．ZHANG Jun—hua．(Department of 阳性，因而内乳淋巴结被认为是 General Surgery，the First蛳 d Hospital ofLiaoning Medical College，Jinzhou 121001，China) 乳癌转移的第一站淋巴结，也应 Abstract：At present，the SUrgical operation mode for breast cancertends to be conservative，and it is be— coming more and more important to carry out combined therapy after operation．This article reviewed the his— 一 并切除。 tory and new advancements of the SUrgical therapy of breast C~Lrlcer，and the author suggested that the SUrgical 2．2 手术模式 分为胸膜外式 therapy of breast cancer should be experiencing a transition process with the development of biological char- (Margonttin术式)和胸膜内式 acteristics research and diagnostic technology on breast cancer，which is from radical operation at extensive ranges to reforming radical operation plus combined therapy of whole body to breast-conserving operation plus (Urban术式)。Dah1 Iverson又在 comb ined therapy of whole body． 扩大根治术的基础上加锁骨上淋 Key word：Breast cancer；Surgical therapy；Radical operation；Breast—conserving therapy