乳腺硬癌的临床分析

探讨乳腺硬癌临床特征和生物学行为。方法：对１４０例女性原发乳腺硬癌进行回顾性。结果：硬癌占乳腺癌总发病率的２％，５年和１０年生存率分别为５３．６％和３８．４％，临床分期和腋窝淋巴结转移是影响预后的重要因素。硬癌Ｘ线检出率为７１．９％，细针吸细胞学检出率为５７．１％。结论乳腺硬癌恶性程度高，预后差，其Ｘ线特点为星形肿块影，密度低，毛刺多，钙化少。细针吸细胞学诊断率低。

Scirrhous Carcinoma of Breast

Objective: To study the clinical features and biological characteristics of the scirrhoous carcinoma of breast. Methods: One hundred and forty cases of scirrhous carcinoma of breast were discussed in this study. Results: The results showed that the incidence of scirrhous carcinoma of breast was 2% of the total breast cancers, and the 5-,10-year survival rates were 53.6% and 38.4% respectively. The clinical stage and axillary lymph node metastases were the main factors affecting the prognosis. The detectable rate of X-ray examination of this diease was 71.9% and that of fine-needle biopsy was 57.1%. Conclusion: Scirrhous carcinoma of breast is highly malignant with poor prognosis. The X-ray features are stelliform mass with low density and rare calcification, and the detectable rate of fine-needle biopsy is quite low.