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双侧原发性乳腺癌12例临床分析
引用本文:安维伟,尤奎成. 双侧原发性乳腺癌12例临床分析[J]. 河南外科学杂志, 2010, 16(5)
作者姓名:安维伟  尤奎成
作者单位:天津市武清区第二人民医院普外科,天津,310700
摘    要:目的分析双侧原发性乳腺癌(bilateral primary breast cancer,BPBC)的临床特点。方法对收治的12例双侧原发性乳腺癌患者的临床资料及预后进行回顾性分析,研究其特点。结果 12例BPBC患者占同期乳腺癌患者(415例)的2.9%,同时性BPBC3例,占0.7%,异时性BPBC9例,占2.2%。91.7%(11/12)的第一侧乳腺癌肿瘤大小为T2,而第二侧乳腺癌中有2例(16.7%)为T0期癌。第一侧乳腺癌病理类型均为浸润性癌,第二侧乳腺癌中有3例(25.0%)为导管内癌。第一侧原发乳腺癌行乳腺癌根治术或改良根治术,第二侧原发乳腺癌有2例行全乳切除术,1例行保乳手术。12例BPBC均无病生存。结论单侧乳腺癌发生后应积极随访,以早期检出对侧病变。BPBC有较早的临床分期和较高的导管内癌比例,可行保乳手术。

关 键 词:乳腺肿瘤  双侧  单侧  预后

Clinical analysis of 12 patients with bilateral primary breast cancer
An Weiwei,You Kuicheng. Clinical analysis of 12 patients with bilateral primary breast cancer[J]. Henan JOurnal of Surgery, 2010, 16(5)
Authors:An Weiwei  You Kuicheng
Affiliation:An Weiwei; You Kuicheng.Department of General Surgery; the Second People s Hospital of Tianjin Wuqing Area; Tianjin 310700; China;
Abstract:Objective To analyze the clinical features of patients with bilateral primary breast cancer (BPBC).Methods We retrospectively analyzed the clinical data of a cohort of 12 patients with BPBC,who were treated during January 1982 and December 2008 in Wuqing Hospital.The clinical features and follow up outcomes were summarized.Results 12 BPBC patients accounted for 2.9% of the total 415 patients who had breast cancer during the period.3 patients (0.7%) were synchronous BPBC,and the other 9 were metachronous BPB...
Keywords:Breast neoplasms  Bilateral  Unilateral  Prognosis
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