Abstract: The article is to summarize the clinical data of an older patient with early stage breast cancer in our department. To analyze the effects of by anesthesia，surgery，adjuvant radiotherapy，adjuvant chemotherapy and endocrine therapy on the influence of older patients with early stage breast cancer in a multidisciplinary treatment team，and finally develop a treatment plan. He successfully received breastconserving surgery under local anesthesia by Lidocaine and healed 10 days after surgery. Postoperative pathology：left breast infiltrating papillary carcinoma，about 4 cm in diameter，negative for sentinel lymph nodes，ER（95%+），PR（95%+），HER?2（0），Ki?67（20%+）. No adjuvant radiotherapy or systemic systemic adjuvant therapy was performed after surgery. A multidisciplinary treatment teams assess the benefits and risks of treatment before treatment，and can develop clear，safe and reliable treatment options for older patient with early stage breast cancer.

Key words: breast cancer, treatment, the elderly

摘要： 总结我科最近一例高龄早期乳腺癌患者的临床资料，通过多学科治疗团队分析高龄早期乳腺癌的麻醉方式、手术、辅助放疗、辅助化疗及内分泌治疗对患者影响制定治疗方案，最终在在利多卡因局部浸润麻醉下顺利接受左乳癌保乳术，术后 10 天愈合。术后病理：左乳浸润性乳头状癌，直径约 4 cm，前哨淋巴结阴性，ER（95%+），PR（95%+），HER?2（0），Ki?67（20%+）。术后未接受辅助放疗及全身系统辅助治疗。多学科治疗团队治疗前评估高龄乳腺癌治疗获益及风险，可为高龄乳腺癌患者制定明确安全且可靠的治疗方案。

关键词: 治疗, 乳腺癌, 高龄老人