摘要
目的 探讨乳腺癌术后胸壁局部复发因素及预后意义。方法 回顾性分析乳腺癌术后胸壁局部复发患者 85例。结果 本组患者占同期全部乳腺癌病例的 3.5 9% ,其中 5 5例 (6 4.7%复发发生在手术后 2年内 ,复发后 39例 (4 5 .9% ) ,2年内死亡。结论 临床分期晚、腋下淋巴结癌转移数多、原发灶见脉管癌栓患者术后胸壁复发率高 ;原发灶雌激素受体 (ER)及孕激素受体 (PR)阴性患者 ,复发多出现在术后第 1、2年内。对乳腺癌术后易复发的高危人群除应规范化治疗 ,还应实施适时胸壁放疗。
Objective Explore the reason for recurrence of breast cancer on the chest wall after mastectomy. Methods For 85 patients with local recurrence on the chest wall after mastectomy clinical data and pathologic data were reviewed retrospectively.Results Most recurrence occur within two years postoperation. About fifty percent patients would die within two years after recurrence. This group patients had unfavourable prognosis with the 5 years survived rate of 29.4%.Conclusion The patients who had larger primary tumor and with positive axillary nodes , lymphatic vessel invasion, negartive ER PR,would early local recurrence.
出处
《肿瘤防治研究》
CAS
CSCD
2001年第3期232-233,共2页
Cancer Research on Prevention and Treatment
