摘要
目的:探讨触不到肿块的乳腺癌(T0期乳腺癌)的诊断、治疗和预后。方法:1978～1997年共收治女性乳腺癌9980例,其中检出T0乳腺癌276例(278例次)。主要根据乳头溢液、乳腺腺体增厚、乳头糜烂、乳头回缩等主诉,进行追踪检查而发现,其中12例曾患乳腺癌的患者行对侧乳腺常规X线摄影而发现。结果:全部病例接受手术治疗并经病理组织学检查,病变多数(73.0%)为非浸润性癌及早期浸润性癌。234例根治术中淋巴结转移率为7.7%。结论:本组5、10、15年生存率分别为98.1%、94.6%、90.3%,明显提高了生存率。
Objective: Discussion of Diagnosis, treatment and prognosis of Non-palpable T0 Breast Cancer. Methods: Between 1978 and 1997, 9980 female patients with operable breast cancer were treated surgically, Among which 276 cases of T0 breast cancer were detected. Most cases of T0 breast cancer could be detected promptly with careful examination of presenting symptoms, such as nipple discharge, local thickening of the breast, nipple erosion, nipple retraction and postmenopausal mastalgia, while 12 cases were detected by routine mammography of the contralateral breast. Results: All patients were treated by surgery and histopathological exam, most cases (73.02%) were noninvasive and early invasive carcinoma and axillary lymph node metastasis accounted for 7.69% in the 234 mastectomy cases. Conclusions: 98.1% were alive and well after the following 5 years, and 94.6% for 10 years, 90.3% for 15 years. The survival rate was increased obviously.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2004年第2期78-81,共4页
Chinese Journal of Clinical Oncology
关键词
T0乳腺癌
早期发现
预后
T_0 Breast cancer Early detection Prognosis
