乳腺癌保留乳腺手术后肿瘤复发及转移的相关因素

被引：41

作者：

孟洁

宁连胜

机构：

[1] 天津医科大学附属天津肿瘤医院乳腺科,天津医科大学附属天津肿瘤医院乳腺科,

来源：

中华外科杂志 | 2003年 / 04期

关键词：

乳腺肿瘤; 肿瘤复发,局部; 远处转移;

D O I：

暂无

中图分类号：

R737.9 [乳腺肿瘤];

学科分类号：

摘要：

目的　探讨乳腺癌保留乳腺手术后局部复发及远处转移的相关因素。　方法　回顾性分析保乳治疗原发性女性乳腺癌 174例 ,随访 12～ 196个月 ,随访率 97 13% ( 16 9/ 174)。　结果局部复发9例 ,3年复发率 3 79% ( 5 / 132 ) ;远处转移 14例 ,5年转移率 10 99% ( 10 / 91) ;5年生存率92 31% ( 84/ 91)。保乳手术无放疗组 3年复发率 ( 12 12 % )显著高于手术加放疗组 ( 1 0 1% ) ,( χ2 =5 6 1,P <0 0 5 )。腋窝淋巴结阳性患者中保乳手术未化疗组 5年远处转移率 ( 44 4 4% )高于手术加化疗组 ( 6 6 7% ,P <0 0 5 )。切缘阳性与局部复发有关 (P <0 0 1)。乳腺癌诊断时年龄≤ 40岁、淋巴结阳性、组织学Ⅲ级与远处转移有关 (P <0 0 5 )。　结论　保乳术后应放疗 ;切缘阳性者应再切除至阴性或全乳切除术 ;年轻、淋巴结阳性、组织学分级Ⅲ级者应辅助化疗。

引用

页码：41 / 44

页数：4

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