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从放射治疗师的角度看乳腺癌的手术治疗及其后果(作者译)

[Operative treatment of mamma carcinoma and its aftermath from the view of radiotherapist (author's transl)].

作者信息

Harwardt P

出版信息

Med Klin. 1979 May 11;74(19):725-30.

PMID:449835
Abstract

It is reported about 234 patients suffering from postoperative complications after mamma surgery due to carcinoma. All patients were postoperatively treated with a combined telecobalt and x-ray radiation. The results show that serious complications as lymphoedema and periphery neurologic disturbances depend in a great extent on the technique of surgery, especially when the axilla is involved by the cut direction. Postoperative complications of breast cancer are increased only insignificantly by radiatio. Therefore it is suggested to reduce the frequence of radical surgery, and modified radical surgery of breast cancer, in favour of single mastectomy plus postoperative radiation.

摘要

据报道,约234例因癌症接受乳房手术的患者出现了术后并发症。所有患者术后均接受了钴远距离治疗和X射线联合放疗。结果表明,严重并发症如淋巴水肿和周围神经功能障碍在很大程度上取决于手术技术,尤其是当腋窝受切口方向影响时。乳腺癌的术后并发症仅因放疗而略有增加。因此,建议减少乳腺癌根治术和改良根治术的频率,转而采用单纯乳房切除术加术后放疗。

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