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目的:探讨乳腺癌骨转移的相关因素及处理对策。方法:本文对1954年1月~1977年12月我院收治的2803例原发乳腺癌术后发生骨转移的145例患者临床资料进行回顾性分析。结果:乳腺癌术后骨转移发生率5.1%,骨转移部位分布较广泛,多数出现在脊柱,术后前5年发生率占76.4%,腋淋巴结阳性患者较阴性患者较早发生转移。出现转移后经治疗患者较未治疗患者生存期有显著性差异。结论:乳腺癌术后骨转移出现时间与其分布有其规律,综合治疗后乳腺癌患者可延缓出现转移的时间。出现骨转移后,积极治疗,可达到延长生存期改善生存质量的目的。
Objective: To explore the factors related to bone metastasis in breast cancer and the countermeasures. Methods: This article retrospectively analyzed the clinical data of 145 cases of bone metastases after primary breast cancer in our hospital from January 1954 to December 1977. Results: The incidence of bone metastasis after breast cancer surgery was 5.1%. The distribution of bone metastases was extensive. Most of them occurred in the spine. The incidence of the first five years after surgery was 76.4%. The positive patients with axillary lymph nodes occurred earlier than the negative patients. Transfer. There was a significant difference in the survival time of treated patients compared with untreated patients after metastasis. Conclusion: The time and distribution of bone metastasis after breast cancer surgery have its regularity. After comprehensive treatment, breast cancer patients can delay the time of metastasis. After the occurrence of bone metastases, aggressive treatment can achieve the goal of prolonging the survival period and improving the quality of life.