Kondo M, Hashimoto S
Gan No Rinsho. 1986 Jan;32(1):1-7.
For the treatment of patients with early breast cancer, breast conservation surgery with irradiation is gaining world wide acceptance as opposed to more mutilating operations. In Japan, however, most surgeons and radiation oncologists are still unfamiliar with this technique. To achieve optimum functional and cosmetic results, understanding the philosophy and details of the technique is of primary importance. We propose a method of executing the procedures. Tumor excision with a tumor-free margin and breast irradiation with tangential fields are the essential part of the treatment. The entire breast should not receive more than 50 Gy. Limited axillary dissection is used for deciding the indications for chemotherapy, and it is necessary to obtain more than five nodes. Irradiation to the lymph nodes is optional.
对于早期乳腺癌患者的治疗，与更具致残性的手术相反，保乳手术加放疗正获得全球认可。然而在日本，大多数外科医生和放疗肿瘤学家仍不熟悉这项技术。为了获得最佳的功能和美容效果，了解该技术的理念和细节至关重要。我们提出一种执行手术步骤的方法。切除肿瘤并保证切缘无肿瘤以及用切线野进行乳腺放疗是治疗的关键部分。整个乳腺接受的照射剂量不应超过50Gy。采用有限腋窝淋巴结清扫来确定化疗指征，并且有必要获取超过5个淋巴结。对淋巴结进行照射是可选择的。
