摘要
目的总结24例男性乳腺癌的临床与病理特点及治疗方法。方法回顾性分析2006年1月至2012年12月收治的24例男性乳腺癌患者的临床资料。结果 24例男性乳腺癌患者平均(55.7±2.1)岁,全部患者均行手术治疗,其中单纯病损切除术6例、乳腺单纯切除术5例、乳腺癌改良根治术13例(1例为双侧)。病理诊断浸润性导管癌18例、乳头状癌4例、黏液性腺癌1例、恶性孤立性纤维性瘤1例。术后20例患者行辅助化疗,7例行辅助放疗,15例行内分泌治疗,5年生存率54.2%。结论男性乳腺癌发病率低,患者年龄大,病程长,预后差,容易发生转移,本病以手术治疗为主,术后根据情况辅以化疗、放疗及内分泌治疗。
Objective To summarize our experiences in the clinical diagnosis and treatment of male breast cancer（MBC）.Methods The clinical date of 24 MBC patients treated in our hospital from January 2006 to December 2012 were retrospective analyzed.Results The average age of these 24 patients was（55.7±2.1） years.All the patients received surgical treatment,and the surgical procedures were simple excision of breast lesion in 6 patients,breast resection alone in 5 patients,and modified radical mastectomy in 13 patients（bilateral in 1 case）.The pathological diagnoses included invasive ductal carcinoma in 18 cases,papillary carcinoma in 4 cases,mucinous adenocarcinoma in 1 case,and malignant solitary fibrous tumor in 1 case.Twenty patients received chemotherapy,7 received radiotherapy,and 15 received endocrine therapy after operation.The5-year survival rate was 54.2%.Conclusions The incidence of MBC is low.This malignancy is mainly seen in elderly individuals,with relatively long disease course,poor prognosis,and high risk of metastasis.MBC is mainly treated by surgery,and adjuvant chemotherapy,radiotherapy,and endocrine therapy may be applied,if appropriate,after the operation.
出处
《中国医学科学院学报》
CAS
CSCD
北大核心
2017年第4期568-572,共5页
Acta Academiae Medicinae Sinicae
关键词
男性
乳腺癌
临床特点
male
breast cancer
clinical features
