40例男性乳腺癌随访资料分析

背景与目的 :探讨男性乳腺癌的临床特点 ,治疗方法和影响预后的因素。 材料与方法 :回顾性总结40例男性乳腺癌的临床特点和治疗方法 ,分析其影响预后的因素。 结果 :全部病例经手术后病理检查确诊。全组患者治疗后的5、10年生存率分别为65 %、52.5 %。根治术与改良根治术患者的5、10年生存率分别为72.2 %、71.4 %。腋窝部淋巴结转移率为62.5 %。 结论 :男性乳腺癌比女性病程长 ,更具有激素依赖性。容易发生腋窝淋巴结转移 ,预后较差。治疗上首选改良根治术并根据不同情况辅以放疗、化疗和内分泌治疗。

Analysis of Follow-up Data for 40 Cases with Male Breast Cancer

BACKGROUND&AIM: To explore the clinical characterictics and the treatment and the factors affecting prognosis of male breast cancer. MATERIAL AND METHODS: The clinical data of40cases of male breast cancer were reviewed retrospectively,to analyze the factors affecting prognosis. RESULTS: All cases were diagnosed by pathological examination after surgery.The5and10years survival rates were65%and52.5%for all patients respectively.The5and10years survival rates were72.2%and71.4%for patients undergone radical mastectomy and modifed radical surgery.The axillary lymph nodes metastasis rate was62.5%. CONCLUSION: Male breast cancer has longer course than female,It is characterized by hormone dependent,high metastasis rate and poor prognosis.The optimal treatment for male breast cancer is modified radical mastectomy combined with radiotherapy,chemotherapy and endocrine therapy.