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隐匿性乳腺癌的诊治探讨
引用本文:王红鲜,陶霖玉,齐柯,张好云,冯铎,孔恒,陈天文,林秋生.隐匿性乳腺癌的诊治探讨[J].实用癌症杂志,2011,26(3):274-276.
作者姓名:王红鲜  陶霖玉  齐柯  张好云  冯铎  孔恒  陈天文  林秋生
作者单位:广东医学院附属南山医院甲乳外科,518052
摘    要:目的探讨隐匿性乳腺癌的临床特点及诊治方法。方法对9例隐匿性乳腺癌患者的临床资料及疗效进行回顾性分析。结果术后9例患者中6例找到乳腺癌原发灶(3~8 mm),随访1~8年,7例行乳腺癌改良根治术的患者中5例未出现局部复发或远处转移,1例术后1年发现骨转移灶,另1例术后1.5年死于脑、肺及骨转移;2例行保乳术的患者均无局部复发或远处转移。结论对有腋窝淋巴结转移腺癌而无明显原发癌灶的女性患者,应高度警惕隐匿性乳腺癌。治疗宜采用保乳术联合腋窝淋巴结清扫术,辅以全乳腺及区域淋巴结引流区放疗、化疗、内分泌治疗以及可能的靶向治疗。

关 键 词:隐匿性乳腺癌  腋窝淋巴结转移  保乳手术

Discussion on Diagnosis and Treatment of Occult Breast Cancer
WANG Hong-xian,TAO Lin-yu,QI Ke,et al..Discussion on Diagnosis and Treatment of Occult Breast Cancer[J].The Practical Journal of Cancer,2011,26(3):274-276.
Authors:WANG Hong-xian  TAO Lin-yu  QI Ke  
Institution:WANG Hong-xian,TAO Lin-yu,QI Ke,et al.Surgical Departmnt of Hyroid and Breast,Affiliated Nanshan Hospital of Guangdong Medical College,Shenzhen,518052
Abstract:Objective To investigate the clinical characteristics,diagnosis and treatment of occult breast cancer.Methods Data of 9 patients with occult breast cancer were retrospectively analyzed.Results Primary tumors(3~8 mm) were detected in 6 of 9 postoperative patients.After follow-up for 1 to 8 years,5 of the 7 patients treated by mastectomy survived without local recurrence or distant metastases,1 patient had bone metastases 1 year after operation,and 1 patient died of brain,lung and bone metastases 1.5 years af...
Keywords:Occult breast cancer(OBC)  Axillary lymph node metastasis(ALNM)  Breast-conserving surgery(BCS)  
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