Watt-Boolsen S, Jacobsen K, Blichert-Toft M
Surgical Department K, Odense University Hospital, Denmark.
Acta Oncol. 1988;27(6A):663-5. doi: 10.3109/02841868809091765.
Total mastectomy and partial axillary dissection as advised in the DBCG (Danish Breast Cancer Cooperative Group) protocols was performed in 104 consecutive females with operable primary invasive breast cancer, aged 34-82 years, median 47 years. The glandular removal was complete as assessed by microscopic examination of side resection planes and deep fascia of the surgical specimen. The number of removed axillary lymph nodes ranged from 1 to 28, median 8. The mortality was zero. There were no general complications. Wound complications comprised seroma (47.1%), flap margin necrosis (5.8%) and infection (1.9%). The pitfalls in securing total mastectomy are discussed as is the extent of axillary dissection for staging purposes. Furthermore, the problem of axillary dissection and axillary irradiation in node positive patients is considered.
按照丹麦乳腺癌协作组（DBCG）方案的建议，对104例年龄在34至82岁（中位年龄47岁）、可手术切除的原发性浸润性乳腺癌女性患者进行了全乳切除术和部分腋窝淋巴结清扫术。通过对手术标本的侧切缘和深筋膜进行显微镜检查评估，腺体切除完整。切除的腋窝淋巴结数量为1至28个，中位值为8个。死亡率为零。无全身并发症。伤口并发症包括血清肿（47.1%）、皮瓣边缘坏死（5.8%）和感染（1.9%）。文中讨论了确保全乳切除术的要点以及为分期目的进行腋窝淋巴结清扫的范围。此外，还考虑了淋巴结阳性患者的腋窝淋巴结清扫和腋窝放疗问题。
