摘要
目的探讨乳腺癌手术创面脱落癌细胞与临床病理分期的关系，为术中采用杀灭脱落癌细胞的措施提供理论依据。方法对１０９例乳腺癌患者手术创面冲洗液进行细胞学检查，并将其中１０４例的结果与临床病理结果做对比分析。结果本组１０４例患者，脱落癌细胞阳性者３６例，占３４．６％。Ⅰ期、Ⅱ期及Ⅲ期乳腺癌患者手术创面脱落癌细胞检出率分别为３．８％、２９．８％和８５．７％。Ｔ１、Ｔ２和Ｔ３以上癌细胞检出率依次为１０．８％、３３．３％和７７．３％。腋淋巴结转移数目４枚以上者手术创面脱落癌细胞阳性率为７６．０％，而无腋淋巴结转移者仅１３．５％。结论乳腺癌手术结束时，采用杀灭或去除手术创面脱落癌细胞的措施，是必要的。
Objective To study the relationship between exfoliative cancer cells in the surgical field and pathological stages of breast cancer and provide a theoretical basis for killing or removing of the exfoliative cancer cells in the surgical field. Method Cytological examination of surgical field washings was performed in 104 patients with breast cancer. The results and pathological stages were compared and analysed. Result Exfoliative cancer cells were found in the surgical field washings in 36 of 104 (34 6%). Stage Ⅰ,Ⅱ and Ⅲ showed a positive rate of 3 8%,29 8% and 85 7%. The positive rate of T 1,T 2 and beyound T 3 were 10 8%,33 3% and 77 3%, respectively. When the number of axillary metastatic lymphnodes was over four,the positive rate of exfoliative cancer cell was 76 0% and only 13 5% if no axillary lymphnode metastasis. Conclusion Killing or removing of the exfoliative cancer cells in the surgical field of breast cancer is necessary.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1998年第4期237-238,共2页
Chinese Journal of Surgery
关键词
乳腺癌
外科手术
病理学
脱落癌细胞
Breast neoplasm Surgery,operative Pathology Exfoliative cancer cell
