乳腺癌的保乳手术.pptVIP

乳腺癌的保乳手术;乳腺癌外科发展历程;两种乳腺癌生物学理论;NSABP B-04临床试验 ,1971n=1700;NIH Conference ,1979;Fisher理论确实立保乳术旳肯定;Milan I study 1971~1980;NSABP B06 1976,n=1843 ;无瘤生存率;无远处转移生存率;总生存率;NSABP B06 23年生存率;Comparisons for Conservative Surgery and Radiation (CS and RT) Versus Mastectomy in Prospective Randomized Trials;NIH Conference ,1990;If anybody may have doubts about the safety of breast conservation, this slide is the answer. （The 26th Annual San Antonio Breast Cancer Symposium. Umberto Veronesi, MD）;Morrow教授;保乳手术现状;Breast-Conserving Therapy provides;保乳手术适应症 1、确保疗效：（1）能完整切除肿瘤：单发局限病灶，病理设备及技术。 （2）能接受放射治疗：无放疗禁忌