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目的:总结90例乳腺癌根治术或改良根治术后患者腋窝区放射治疗的疗效。方法:90例乳腺癌患者中术后腋窝野照射40例,对照50例。60Co外照射1.8 Gy/次,剂量为50 Gy~52 Gy/5周~6 周。结果:治疗组患侧上肢水肿发生率高于对照组;但腋窝区淋巴结复发、5 a生存率两组无差异。结论:乳腺癌患者行根治术或改良根治术后加与不加腋窝野照射,不影响该区域淋巴结复发率及5 a生存率,但是增加了患侧上肢水肿发生率。
OBJECTIVE: To summarize the efficacy of radiotherapy in axillary region in 90 patients with radical mastectomy or modified radical mastectomy. Methods: 90 cases of breast cancer patients after axillary field irradiation 40 cases, control 50 cases. 60 Gy external irradiation 1.8 Gy / dose, dose of 50 Gy ~ 52 Gy / 5 weeks to 6 weeks. Results: The incidence of upper extremity edema in the treatment group was higher than that of the control group. However, there was no difference between the two groups in the 5-year survival rate after axillary lymph node recurrence. Conclusions: Radical or modified radical mastectomy with or without axillary irradiation in breast cancer patients does not affect the lymph node recurrence rate and 5-year survival rate, but increases the incidence of upper limb edema.