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隐匿性乳腺癌的诊断和治疗
引用本文:毛杰,海健,刘少华,唐利立,申正堂,邬玉辉,欧慧英. 隐匿性乳腺癌的诊断和治疗[J]. 中华肿瘤防治杂志, 2005, 12(19): 1497-1498
作者姓名:毛杰  海健  刘少华  唐利立  申正堂  邬玉辉  欧慧英
作者单位:中南大学湘雅医院乳腺科,湖南,长沙,410008
摘    要:目的:探讨隐匿性乳腺癌(occultbreast cancer,OBC)的发病特点、诊断和治疗方法。方法:回顾性分析21例OBC的临床、病理资料及随访结果。结果:21例均以腋下肿块为首发症状且均行手术治疗及术后综合治疗,5年生存率为78·70%,与我院同期乳腺癌5年总生存率75·94%(2099/2764)相似。结论:对原因不明的腋下肿块,应考虑到OBC的可能,同时应予切除并送检病理确诊。一经确诊,宜选择乳腺癌根治术或改良根治术,并予辅助性放疗、化疗。肿瘤防治杂志,2005,12(19):1497-1498

关 键 词:乳腺肿瘤/诊断  乳腺肿瘤/治疗  抗肿瘤药  多剂联用
文章编号:1009-4571(2005)19-1497-02
修稿时间:2005-03-11

Diagnosis and treatment of occult breast cancer
MAO Jie,HAI Jian,LIU Shao-hua,TANG Li-li,SHEN ZHENG-tang,WU Yu-hui,OU Hui-ying. Diagnosis and treatment of occult breast cancer[J]. Chinese Journal of Cancer Prevention and Treatment, 2005, 12(19): 1497-1498
Authors:MAO Jie  HAI Jian  LIU Shao-hua  TANG Li-li  SHEN ZHENG-tang  WU Yu-hui  OU Hui-ying
Affiliation:MAO Jie,HAI Jian,LIU Shao-hua,TANG Li-li,SHEN Zheng-tang,WU Yu-hui,OU Hui-ying Department of Breast Surgery,Xiangya Hospital of Central South University,Changsha 410008,P.R.China
Abstract:OBJECTIVE:To investigate the characteristics, diagnosis and treatment of occult breast cancer (OBC). METHODS: The clinical data of 21 cases of OBC were analyzed retrospectively. RESULTS: All patients showed axillary node enlargement as the first sign and were operated on, and were performed the colligation treatment. The 5-year disease-survival (DS) was 78.70%, similar to the overall 5-year DS of breast cancer at the same time. CONCLUSIONS: For axillary mass which causes are uncertain, the possibility of OBC should be considered. Meanwhile, excision and pathological examination are necessary. Radical or modified mastectomy is the best treatment, and post-operative chemotherapy and/or radiotherapy should be done.
Keywords:breast neoplasms/diagnosis  breast neoplasms/therapy  antineoplastic agents  combined
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