中国医学科学院肿瘤医院 放疗科 n 适应证适应证n 靶区范围靶区范围 n 放疗时间放疗时间n 放疗技术放疗技术n 胸壁复发/所有复发=44%-75%n 锁骨上复发/所有复发=20%-24%EBCTCG.Lancet,366:2087-2106,2005SS+RTP 5-yr LR 5-yr LR 15-yr CS Mortality 15-yr CS Mortality23%23%60.1%60.1%6%6%54.7%54.7%0.00020.00024 LN+作者病例数5-yr LRF10-yr LRFECOG201628.7%NSABP575824.4%CALGB200512.4%MDACC103121%ChPUMC60540.1%Danish 82b170842%V.BC31828%41%Danish Trial 82b NEJM 337(14):949-955,1997 CMFCMF+RT中位随访114月绝经前17081708例例Danish Trial 82b NEJM 337(14):949-955,1997 S+CS+RT+CP10-yr LRR 10-yr LRR 10