隐匿性乳腺癌诊治分析(附10例报告)

目的:探讨隐匿性乳腺癌的诊断与治疗方法。方法:对经治的10例隐匿性乳腺癌的临床及病理资料进行回顾性分析。结果:10例均获随访,随访时间7个月~9年。生存7个月~2例,3年~3例,生存时间>5年者5例。1例行乳腺癌改良根治术的患者术后6年死于肝转移,4例乳腺标本未找到原发病灶者无复发及转移,经随访未发现乳腺外病灶。结论:确诊为隐匿性乳腺癌后,仍应按乳腺癌的处理原则进行治疗,宜选择根治术或改良根治术,术后继续行化、放疗,ER、PR阳性者行序贯内分泌治疗。术后要密切随诊。

Diagnosis and treatment of occult breast cancer

Objective:To evaluate special diagnosis and treatment of occult breast cancer(OBC).Methods:The clinical data of 10 cases of OBC were analyzed retrospectively.Results:10 cases were followed up for 7 months～9 years.2 patients had lived for 7 months～3 years.3 patients had lived for 3～5 years.5 patients had lived for more than 5 years.1 patient who received modified radical mastectomy but died of liver metastasis.4 patients had no recurrence and no metabasis whose primary lesions were not found,and focus of infection were not found out of mammary gland during following-up.Conclusion:Radical or modified mastectomy is the best treatment,and post-operative chemotherapy and/or radiotherapy should be applicator.Endocrinotherapy should be done if ER and/or PR are positive.Post-operative follow-up visit is necessary.