Abstract：Objective: To analyze the effect of breast conserving surgery in triple negative breast cancer (TNBC). Methods: A total of 124 cases of early TNBC patients admitted to our hospital from February 2015 to December 2017 were selected, and the surgical plan was chosen according to the wishes of patients and their families, their own conditions, surgical indications and contraindications, and divided into observation and control groups, 60 cases in the control group were treated with modified radical surgery, and 64 cases in the observation group were treated with breast-conserving surgery. Comparison of intraoperative condition, hospitalization time, recent efficacy after treatment, postoperative shoulder mobility, postoperative complications, psychological function, somatic function, social function scores, and 5-year postoperative follow-up between the two groups. Results: The hospitalization time, operation duration, objective remission rate, disease control rate, postoperative rate of local recurrence rate, and distant metastasis rate of the two groups were compared, and there was no difference (P>0.05); intraoperative bleeding, postoperative drainage, and the total incidence of complications in the observation group were lower than those in the control group (P<0.05); and the postoperative flexion, abduction, posterior extension, internal rotation, external rotation mobility, psychological function, somatic function and social function scores were elevated more than those of patients in the control group (P<0.05). Conclusion: Breast-conserving surgery for the treatment of early TNBC has no significant difference in recent efficacy, 5-year postoperative local recurrence rate, and distant metastasis rate compared with modified radical surgery. Breast-conserving surgery has less intraoperative bleeding and postoperative drainage, greater shoulder mobility, fewer complications, and higher postoperative quality-of-life scores, and is worthwhile to popularize its use in the clinic.
2023, Vol. 29 
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