17例男性乳腺癌临床及诊治分析

目的 探讨男性乳腺癌的临床特点及治疗.方法 回顾性分析濮阳市妇幼保健院与濮阳市人民医院1995年至2009年收治的17例男性乳腺癌的临床资料.结果 17例男性乳腺癌占同期收治乳腺癌的0.7%,均经手术明确、病理诊断,其中浸润导管癌10例、Paget病3例、腺癌2例、髓样癌1例、黏液腺癌1例.结论 男性乳腺癌的常见症状就是乳晕下的无痛性肿块,同时或（和）伴有乳头内陷、乳头溢液及疼痛;预后与就诊时间早晚、治疗是否规范有关,手术方式以改良根治术和根治术为主,术前应做好植皮准备,术后根据情况配合放化疗、内分泌治疗及中医药治疗.

Diagnosis and treatment of 17 cases male breast cancer

Objective To investigate the clinical features and treatment of male breast cancer. Methods Retrospective analysis was made on 17 cases of male breast cancer treated in our hospital and the City Peoples Hospital from 1995 to 2009. Results The number of male breast cancer accounted for 0.7% of the total breast cancer admitted in the same period. All the 17 cases were diagnosed by pathology, including 10 cases infiltrating ductal carcinoma, 3 cases Paget disease, 2 cases adenocarcinoma, 1 case medullary carcinoma and 1 case mucinous adenocarcinoma. Conclusions The common symptom of male breast cancer is a painless lump under the areola, sometimes with nipple retraction, nipple discharge, and pain. Prognosis of male breast cancer is related to treatment timing and whether the treatment is standard or not. Surgical approaches are mainly based on modified radical mastectomy and radical mastectomy. Autologus skin graft is often needed. Postoperative chemotherapy, radiotherapy, endocrine therapy and traditional Chinese medicine therapy depend on clinical and pathological features.