乳腺癌185例诊治体会

目的 总结乳腺癌的诊治经验。方法对185例乳腺癌的诊治进行回顾性分析。结果185例全部获得随访。术后3年生存率892％，5年生存率79.6％(寿命表法)。结论(1)185例乳腺癌中，40～49岁年龄组发病率最高。左右两侧发病机会均等，以浸润型导管癌多见，Ⅱ、Ⅲ期病人较多。(2)术前病理和穿刺细胞学检查极其重要，可避免误诊误治，提高早期诊断率。(3)手术方式的选择除根据病理诊断、临床分期、病变部位、病人年龄外，还应结合医院条件，病人经济状况及要求。

Study on 185 Cases of Breast cancer

Objective To summarize the experience of diagnosing and treating on breast cancer. Methods The diagnosis and treatment of 185 cases were retrospectively analysed.Results 185 cases were followed. The survival rate of 3 years after operation was 89.2%, that of 5 years after operation was 79.6%.Conclusion First: Analysising 185 cases .The most frequent ages are among 40-49, the frequency is equal between right and left breast. In pathology types, the infiltrate duct Carcinoma is more than other types. The patients of state II and III is more than the others. Second: Pathological check and needle biopsy before operation is most important for avoiding mistakes in diagnosis and treatment,. and increasing the frequency of the diagnosis of the early course of breast cancer. Third: The choice of methods of operation should be according to the diagnosis of pathological diagnosis,the clinical stage, the part of breast carcinoma,the age of patients and the condition of hospital,the economical state and the requirement of patients.