妊娠哺乳期乳腺癌6例临床分析并文献回顾  

The clinical analysis and literature review of six patients of breast cancer in pregnancy and lactation

作　　者：牛占恩[1] 袁堂玲[1] 李霞[1] 徐胜军[1] 孙积峰[1] 张伟克[1] 

机构地区：[1]泰山医学院附属莱钢医院肿瘤血液科,山东莱芜271104

出　　处：《现代肿瘤医学》2008年第8期1323-1326,共4页Journal of Modern Oncology

摘　　要：目的:探讨妊娠哺乳期乳腺癌的诊断、治疗和预后。方法:分析我院1999年-2007年收治的6例妊娠哺乳期乳腺癌患者的临床资料。结果:6例妊娠哺乳期乳腺癌患者平均年龄是30.7岁,主要临床表现为乳腺肿物,经手术活检病理确诊,从出现症状到临床确诊的时间7天18个月。4例患者Ⅱ期,2例Ⅳ期。Ⅱ期患者行乳腺癌改良根治术,并辅以化放疗及内分泌治疗,Ⅳ期患者以化疗为主。结论:妊娠哺乳期乳腺癌发病年龄轻,临床表现和诊断方法与一般乳腺癌相同,但常延迟诊断,分期较晚。治疗原则与普通乳腺癌相同,但需考虑胎儿因素。预后与临床分期有关,妊娠因素影响不大。Objective： To discuss the diagnosis, treatment and prognosis of breast cancer during pregnancy and lactation. Methods：To review six patients with breast cancer treated in Laiwu Steel Hospital from 1999 to 2007. Results：The average age of the patients was 30.7 years old. The main symptoms was breast mass. The final pathologic diagnose was made through lumpectomy. It took seven days to eighteen months to diagnose after the developement of the symptoms. Four patients were at stage Ⅱ,2 was stage Ⅳ. Four patients with stage Ⅱ accepted modified radical mastectomy and adjuvant chemotherapy or radiotherapy. Two patients with stage IV accepted chemotherapy. Conclusion：The patients suffering from breast cancer in pregnancy and latation were younger in age. The clinical symptoms and diagnostic procedure were the same with general breast cancer,but they were usually diagnosed delayed and were in late stage. The princple of therapy was the same with general breast cancer with special concerning about the fetus. Prognosis was related to the clinical stage.

关 键 词：乳腺癌 妊娠哺乳期 诊断 治疗 

分 类 号：R737.9[医药卫生—肿瘤]