Procaccini E, Ruggiero R, Docimo G, Iovino F, Procaccini F, Gili S, Lo Schiavo F
Seconda Università degli Studi di Napoli, Ill Divisione di Chirurgia Generale, Italy.
G Chir. 2006 Jan-Feb;27(1-2):40-4.
The Authors report their experience about 127 ductal carcinoma in situ (DCIS) of the breast. Guidelines for surgical treatment are: radiological or clinical diagnosis, tumor's extension, histological classification, grading and margin status. At the present the Authors prefer breast conserving surgery with tumor margin's study. They report their experience in the last seven years about sentinel node biopsy. Radiotherapy and endocrine therapy are indicated for selected patients; local recurrence after DCIS therapy is 8,1% on a 6,1 years follow-up.
作者报告了他们关于127例乳腺导管原位癌(DCIS)的经验。手术治疗的指导原则包括:放射学或临床诊断、肿瘤范围、组织学分类、分级以及切缘状态。目前,作者更倾向于进行保乳手术并研究肿瘤切缘。他们报告了过去七年中关于前哨淋巴结活检的经验。对于部分患者,需进行放疗和内分泌治疗;在6.1年的随访中,DCIS治疗后的局部复发率为8.1%。