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Title   유방암환자에서 유방 부분절제술 , 액와림프절곽청술 및 방사선치료 ( Partial Mastectomy with Axillary Lymph Node Dissection and Radiotherapy in Breast Cancer )
Publicationinfo   1993 Jan; 025(06): 899-905.
Key_word   Partial mastectomy, Radiotherapy and breast cancer
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Abstract   Partial mastectomy(PM), axillary lymph node dissection(AD) and radiotherapy(RT) was per- formed in forty two operable breast cancer patients who had been admitted from April l991 to April 1993 to department of surgery, Yongdong Severance Hospital in order to get better cosmetic appearance and survival rate. Of forty two patients, 98% were Tl lesion T2 lesion. Extenisve intraductal component(EIC) within or around the tumor was also analyzed. Thirty three percent of the patients were EIC positive. Mean number of axillary lymph nodes was 20.1 after PM with AD and 19.8 after mastectomy. Frozen sections were done at the operating room to achieve negative resection margin microscopically. For radiotherapy, 4,500 rad was delivered to the breast parenchyme and 1,600 rad of boost to the primary tumor site using electron beam method few weeks after surgery. One patient had breast recurrence 13 months after operation and treated by total mastectomy. All the other patients except one breast recurrence have been living well without any local recurrence and satisfied with breast preservation for two- year follow-up period. We concluded that the advanced technology for breast cancer treatment using PM, AD and RT can be a good alternative of conventional mastectomy.
저 자   이희대(Hy Do Lee),서창옥(Chang Ok Suh),정우희(Woo Hee Jung),오기근(Ki Keun Oh),박희붕(Hee Boong Park),지훈상(Hoon Sang Chi),김병로(Byong Ro Kim),민진식(Jin Sik Min)