乳腺肉瘤28例诊断治疗分析

为探讨乳腺肉瘤的临床特点和治疗方法,对1972年1月至2006年9月收治的28例乳腺肉瘤的临床资料进行回顾性分析。结果:随访10个月～32年,6例死亡,7例复发。5年生存率为80.3%,10年生存率为71%。该病的诊断需要病理证实。治疗方法以手术治疗为主。对于肿块较小,无淋巴结转移者可行单纯乳房切除;对于有腋窝淋巴结转移者需要行根治术。对局部复发的患者不应放弃再次手术的机会。

Diagnosis and Therapy for 28 Sarcoma of the Breast

To explore the clinical characteristics of the breast sarcoma and its therapeutic method,28 cases from January 1972 to September 2006 proved by operation and pathology were discussed.The follow-up time was 10 months to 32 years.Of all cases,6 died,7 recurred.The survive rate of five-year was 80.3%,the survive rate of ten-year was 71%.The diagnosis of the breast sarcoma should be proved by pathology.The best therapeutic method was operation.For patients with small tumor and have no metastasis of the axillary lymph nodes,the simple mastectomy can be performed.But,for patients with metastasis of the axillary lymph nodes,the radical mastectomy should be performed.Patients with recurrent sarcoma should be resected again.