乳腺外淋巴结转移为首发症状的乳腺癌临床手术疗效观察

目的研究乳腺外淋巴结转移为首发症状的乳腺癌手术治疗临床观察。方法回顾性分析两院收治的15例隐匿性乳腺癌患者的临床资料。15例患者在术前都行腋下肿块切除或行细针穿刺,经病理检查证实均为乳腺癌淋巴转移。对本组14例患者行乳腺癌根治术或改良根治术,1例因拒绝行根治术,仅行单侧淋巴结肿物切除术。14例中单纯行手术治疗者2例;单纯化疗1例;手术+放疗5例;手术+术后辅助化疗4例;手术+术后辅助化疗+放疗3例。对于伴有雌、孕激素受体阳性患者再辅以内分泌治疗。结果本组随访15例,1、2、3、4、5年存活分别为15例、14例、12例、11例、10例。结论在临床上对女性的腋窝肿块需给予高度警惕,应考虑隐匿性乳腺癌的可能。

Clinical Analysis of Extramammary Lymph Node Metastasis for the First Symptom of Breast Cancer

Objective To study the clinical analysis of extramammary lymph node metastasis as the first symptom of breast cancer.Methods Retrospective study was concluded in15 cases of occult breast cancer from Mar 2006 to Mar 2012.All of the 15 cases preoperative armpit lumpectomy or line of fine needle aspiration are lymphatic metastatic cancer by pathological examination.2 cases had the simple surgical treatment in 14 cases,1 case had the chemotherapy only,surgery plus radiotherapy 5 cases,surgery plus postoperative adjuvant chemotherapy in 4 cases,surgery plus postoperative adjuvant chemotherapy and radiotherapy 3 cases.To be supplemented with endocrine abnormalities in patients with endocrine conditioning.Results This group was followed up 15 cases,10 cases survived,which 6 cases survived for 3 years and not more than 6 years,2 cases more than five years.Conclusion Auxiliary lumps in clinical practice for women should be given a high degree of vigilance,to consider the possibility of occult breast cancer.