PRACTICAL ONCOLOGY JOURNAL ›› 2016, Vol. 30 ›› Issue (2): 109-113.doi: 10.11904/j.issn.1002-3070.2016.02.003

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The feasibility analysis of breast conserving surgery after neoadjuvant chemotherapy in the treatment with advanced breast cancer

DAI Meng1, LI Rui1, LIU Guiting2, LIANG Jinlong1, FENG Jinfa1, XU Shanyong1   

  1. 1.Department of General Surgery,Nangang Branch of Heilongjiang Provincial Hospital,Harbin 150001,China;
    2.Department of Thoracic Surgery,Hongqi Hospital Affiliated to Mudanjiang Medical College
  • Received:2015-02-03 Online:2016-04-28 Published:2016-04-28

Abstract: Objective To analyse the breast conserving surgery feasibility in patients with advanced breast cancer after neoadjuvant chemotherapy.Methods Sixty patients with advanced breast cancer were collected from June 2010 to June 2011,and were divided into breast conserving surgery after neoadjuvant chemotherapy group and modified radical mastectomy group according to the intention,30 cases in each group.They were given breast conserving surgery after neoadjuvant chemotherapy and modified radical mastectomy respectively,with following-up for 3 years.The treatment effect and contrast analysis of two groups of breast cancer CTCs positive of the two groups were compared,two groups of late follow-up of patients with local recurrence and distant metastasis rate,overall survival and disease free survival rate were recorded.Results Compared with the modified radical mastectomy group,CTCs detection rate in breast conserving surgery group had no statistical differences(P>0.05).Two groups of patients in clinical complete remission rate,partial remission rate,disease stability factor and local recurrence and distant metastasis rate,overall survival and disease free survival rate had no statistical significances(P>0.05).Conclusion The application of breast conserving surgery after neoadjuvant chemotherapy for patients with advanced breast cancer can achieve similar effect as modified radical mastectomy surgery treatment,and can be used as a effective treatment for advanced breast cancer.

Key words: Breast conserving surgery, Neoadjuvant chemotherapy, Advanced breast cancer, Feasibility analysis

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