Oura S, Sakurai T, Yoshimura G, Tamaki T, Umemura T, Naito Y, Suzuma T
Department of Surgery, Wakayama Medical College, Kihoku Hospital, Japan.
Nihon Geka Gakkai Zasshi. 1994 Dec;95(12):887-92.
In this paper, surgical results of nipple-preserved mastectomy (Glt+Ax) for breast cancer were compared with those of radical mastectomy. In p-stage I breast cancer cases, survival and loco-regional disease-free rate of the nipple-preserved cases were equivalent to those of radical mastectomy group. Although nipple-preserved cases had inferiority to the radical mastectomy cases in the survival rate in p-stage II cases, loco-regional disease-free rate of nipple-preserved cases was equal to that of radical mastectomy cases. On the basis of these results, nipple-preserved mastectomy can be a standard operation of p-stage I, II breast cancer in point of the local control at least.
本文比较了保乳根治性乳房切除术（Glt+Ax）与根治性乳房切除术治疗乳腺癌的手术结果。在p期I乳腺癌病例中，保乳病例的生存率和局部区域无病率与根治性乳房切除术组相当。虽然在p期II病例中，保乳病例的生存率低于根治性乳房切除术病例，但保乳病例的局部区域无病率与根治性乳房切除术病例相同。基于这些结果，至少从局部控制的角度来看，保乳根治性乳房切除术可以成为p期I、II乳腺癌的标准手术。
