29例乳腺肉瘤临床治疗分析

为探讨乳腺肉瘤临床最佳治疗方案,作者对１９６４年３月至１９９４年５月收治的２９例乳腺肉瘤的临床资料进行了回顾性分析。随诊４个月至２５年。７例死亡,９例复发;１５例存活１０年以上,５例存活２０年以上。作者认为,本病多需病理证实,以手术治疗为主,无论低度或高度恶性,均应采取包括肿瘤周围正常组织的广泛切除;对复发病例不应放弃再次手术机会;对临床未能触及肿大淋巴节者可不予清扫腋下淋巴节。

Therapy for 29 sarcoma of the breast

We discuss the best therapeutic method for sarcoma of the breast.The data of all cases treated from March 1964 to May 1994 were analyzed retrospectively. Of all cases, 7 died,9 recurred,and 15 survived more than 15 years and 5 over 20 years . The follow up time was 4 months to 25 years. Most sarcomas were pathologically proved. The best therapeutic method was operation. The sarcomas of all cases must be extensively resected including surrounding tissues. The recurrent sarcoma should be resected again. The axillary lymphnodes should not be eliminated when lymphnodes is not discovered.