论文部分内容阅读
我科１９８６．１～１９９５．１２共收治了１３７２名乳癌患者，１１１６名得到随访。其中明确诊断为复发或转移者２２３例，有４０例为单纯胸壁局部复发，临床无远转移迹象。肿瘤病理类型为：浸润性导管癌３４例，髓样癌２例，浸润性导管癌＋粘液腺癌２例，恶性叶状囊肉瘤１例，粘液腺癌１例。胸壁肿瘤复发距首次手术治疗时间３～１１２月，平均３０．４±３３．１月。除去８例未治外，其余均接受了治疗。接受治疗者１，３，５年生存率为５９．４％，４０．６％及２１．９％．未接受治疗者生存７．６±４．０月，７１．４％在１２月内死亡。本文对影响乳腺癌术后胸壁局部复发及预后的因素进行了讨论。
In our department from 1986.1 to 1995.12, a total of 1372 breast cancer patients were admitted, and 1,116 were followed up. Among them, 223 cases were diagnosed as having recurrence or metastasis, and 40 cases had local recurrence of chest wall. There was no sign of distant metastasis in the clinic. The pathological types of the tumor were: 34 cases of invasive ductal carcinoma, 2 cases of medullary carcinoma, 2 cases of invasive ductal carcinoma and mucinous adenocarcinoma, 1 case of malignant phyllodes cystosarcoma, and 1 case of mucinous adenocarcinoma. The recurrence of chest wall tumors was from 3 to 112 months, the average time was 30.4±33.1 months. Except 8 cases were left untreated, the rest were treated. The 1-, 3-, and 5-year survival rates of the treated patients were 59.4%, 40.6%, and 21.9%. Untreated patients survived 7.6±4.0 months, 71.4% died within 12 months. This article discusses the factors affecting the local recurrence and prognosis of breast cancer after breast cancer surgery.