573例乳腺癌临床资料分析

目的探讨乳腺癌的临床特点以及台疗方法的评价.方法收集1989年～1992年共573例完整的病例资料.按治疗方法分为手术组、手术+放疗、手术+化疗、手术+放疗+化疗、非手术组.对病例的一般临床特点及生存率进行统计学分析.结果年龄35岁～55岁者占408例,发病部位外上象限为333例,病理实性癌占375例.不同治疗方法的生存率分5年和10年如下手术组78%、62%,手术+化疗72%、45%,手术+放疗57%、40%,手术+放疗+化疗60%、45%,非手术组35%.结论乳腺癌高发病率年龄组为中年,病变多位于外上象限,病理多为浸润性非特殊性癌.治疗方法仍以手术治疗为首选,适当地配合放、化疗等.

Clinical Analysis for Breast Cancer of 573 Case

Objective: To try to find out the clinical behavior of breast cancer and to evaluation the treatment effect. Methods: From 1989 to 1992, 573 cases were divided into operation group, operation radiotherapy group, operation chemotherapy group, operation radiotherapy chemotherapy group and no-operation group according to the treatment methods. The general clinical characteristics and the survival rates of patients were analyzed. Results: Patients with age of 35~55 old were 408 cases. Patients with lesion site at the upper outer quadrant were 333 cases. Patients with solid carcinoma were 375 cases. The 5-, 10- year survival rates operation group were 78%, 62%, operation radiotherapy group were57%, 40%, operation chemotherapy group were 72%, 45%, operation radiotherapy chemotherapy group were 60%, 45%, no-operation group only were 35%. Conclusion: Age of the higher incidence of the disease was midlife. The lesion sites often located at the upper outer quadrant. Invasive carcinoma was the most common type of breast cancer. First treat of breast cancer might be operation and correctly combine RT and ChT.