采用保留乳腺方式治疗副乳腺癌的临床分析

  目的   探讨采用保留乳腺手术方式治疗副乳癌的相关注意事项及预后。   方法   收集从2003年9月至2013年6月天津医科大学肿瘤医院收治的副乳腺癌患者23例，分析采用不同手术方式治疗副乳腺癌的术前检查、术后治疗及预后。   结果   采用保留同侧乳腺手术方式的10例患者术前均行乳腺相关检查，证实双乳未见恶性病灶。术后3例行放疗，接受放疗的患者均有不同程度放射性皮炎的发生。随访至2013年10月，2例出现骨转移。13例采用乳腺癌根治术中1例出现肺转移。   结论   副乳腺癌确诊时，如双侧乳腺未及异常，可采用保留同侧乳腺治疗副乳腺癌的手术方式，术后放疗应注意放射性皮炎发生的可能。 

Clinical analysis of accessory breast cancer treatment using breast-conserving surgery

  Objective   To explore matters related to prognosis and treatment of accessory breast cancer using breast-conserving surgery.   Methods   Retrospective analysis was carried out on the clinical data of 23 patients who underwent two different modes of surgery and were admitted to Tianjin Medical University Cancer Institute and Hospital and Dagang Oil Field Hospital from September 2003 to July 2013.   Results   No sign of accessory breast cancer was shown by clinical examination, mammography, and ultrasonography of the breast in all 10 cases of surgery without breast removal. Three patients underwent postoperative radiotherapy, and all three showed radiodermatitis in different degrees. Follow-up results revealed that two out of the ten patients who underwent surgery without breast removal had bone metastasis, whereas one of the other 13 had pulmonary metastasis. All patients are still alive as of October 2013.   Conclusion   Accessory breast cancer treatment without ipsilateral breast removal is viable if no sign of the disease is evident in the breast, and possible signs of radiodermatitis can be expected.