首页|新辅助化疗联合保乳手术治疗早中期乳腺癌的效果及对肿瘤标志物、生存质量的影响

新辅助化疗联合保乳手术治疗早中期乳腺癌的效果及对肿瘤标志物、生存质量的影响

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目的 探讨新辅助化疗联合保乳手术治疗早中期乳腺癌的效果及对肿瘤标志物、生存质量的影响。方法 选取2020年 1月至 2023 年 1 月我院收治的 66 例早中期乳腺癌患者为研究对象,将其随机分为对照组和观察组,各 33 例。对照组给予保乳手术治疗,观察组给予新辅助化疗联合保乳手术治疗。比较两组的治疗效果。结果 观察组的治疗总有效率高于对照组(P<0。05)。治疗前,两组的癌胚抗原(CEA)、糖类抗原 125(CA125)、糖类抗原 153(CA153)水平无明显差异(P>0。05);治疗后,观察组的CEA、CA125、CA153 水平低于对照组(P<0。05)。治疗前,两组的乳腺癌患者生命质量测定量表(FACT-B)各维度评分无明显差异(P>0。05);治疗后,观察组的FACT-B各维度评分均高于对照组(P<0。05)。结论 新辅助化疗联合保乳手术治疗早中期乳腺癌的效果较好,可降低肿瘤标志物水平,提高生存质量,值得推广。
Effect of neoadjuvant chemotherapy combined with breast conserving surgery on early and middle stage breast cancer and its influences on tumor markers and quality of life
Objective To explore the effect of neoadjuvant chemotherapy combined with breast conserving surgery on early and middle stage breast cancer and its influences on tumor markers and quality of life.Methods A total of 66 patients with early and middle stage breast cancer admitted in our hospital from January 2020 to January 2023 were selected as the research objects and randomly divided into control group and observation group,with 33 cases in each group.The control group was treated with breast conserving surgery,and the observation group was treated with neoadjuvant chemotherapy combined with breast conserving surgery.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the observation group was higher than that in the control group(P<0.05).Before treatment,there were no significant differences in the levels of carcinoembryonic antigen(CEA),carbohydrate antigen 125(CA125)and carbohydrate antigen 153(CA153)between the two groups(P>0.05);after treatment,the levels of CEA,CA125 and CA153 in the observation group were lower than those in the control group(P<0.05).Before treatment,there were no significant differences in the scores of each dimension of Functional Assessment of Cancer Therapy-Breast Cancer(FACT-B)between the two groups(P>0.05);after treatment,the scores of each dimension of FACT-B in the observation group were higher than those in the control group(P<0.05).Conclusion Neoadjuvant chemotherapy combined with breast conserving surgery is effective in the treatment of early and middle stage breast cancer,it can reduce the levels of tumor markers and improve the quality of life,which is worth promoting.

neoadjuvant chemotherapybreast conserving surgerybreast cancertumor markerquality of life

李兴研、郜业发

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宝鸡高新医院,陕西 宝鸡,721013

新辅助化疗 保乳手术 乳腺癌 肿瘤标志物 生存质量

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(7)
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