乳腺癌治疗方法及复发因素探讨  

Study of recurrence in breast cancer by different methods

作　　者：盛霞玲 晓霄[2] 钟素娥 曾金凤 黄玉婷 

机构地区：[1]惠阳妇幼保健院妇产科,广东省惠阳516001 [2]南通大学附属医院妇产科

出　　处：《中国基层医药》2006年第2期286-287,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨乳腺癌不同治疗方法对复发率的影响及复发因素。方法选择原发乳腺癌105例,分组治疗并观察肿瘤的复发与肿瘤分期、肿瘤转移的关系。结果105例患者2年内复发47.6%(50/105);肿瘤Ⅱ期者复发占40.0%(10/25),Ⅲ期者复发占28.0%(7/25);105例乳腺癌远处转移复发者占31.4%(33/105);单纯行乳腺手术者复发率高达40.0%,而25例手术后放疗的患者中,复发率为16.0%;局部复发共58.0%(61/105),其中胸壁复发13.3%(14/105);锁骨上淋巴结转移20.9%(22/105),腋淋巴结转移23.8%(25/105)。结论联合手术治疗复发率明显低于单纯手术治疗,肿瘤的复发与肿瘤分期、肿瘤转移有关。Objective To study the influence factor of recurrence in breast cancer. Methods The grouping treatment and tumor by stages,tumor transfer were observed in 105 cases with primary breast cancer, Results Among 105 patients,the inside of 2 years relapse was 47.6% （50/105） ;Tumor Ⅱ period recurrence rate was 40.0% （10/25）, Ⅲ period recurrence rate was 28.0 % （7/25） ; Among 105 cases, the distant place transfer to recurrence rate was 31.4 % （33/105） ;Among 105 patients for surgical operation, its relapsing rate was 40.0 % , but in 25 cases after operation putting radiation treatment, relapse rate was 16.0% ;The part recurrence rate totally was 58.0% （61/105 ）, among them the chest wall recurrence rate was 13.3 % （14/105 ） ;The supraclavilar lymphonodes transfer was 20.9 % （22/105 ）, the axlla lymphnides transfer was 23.8 % （25/105 ） ; The distant place transfer was 31.4 % （33/105）. Conclusion The recurrence rare of association treatment obviously is lower than that pure surgical operation,the relapsing of tumor with tumor by stages and transfer relevanted.

关 键 词：乳腺肿瘤 外科手术 放射治疗 肿瘤复发 预后 肿瘤转移 

分 类 号：R737.9[医药卫生—肿瘤]