老年女性乳腺癌73例外科治疗  

The surgical treatment of aged women with breast cancer (affiliated 73 cases clinical analysis)

作　　者：张铁[1] 尹子毅[1] 王丕琳[1] 宋茂民[1] 

机构地区：[1]首都医科大学附属北京天坛医院普通外科,北京100050

出　　处：《中国医刊》2008年第10期41-43,共3页Chinese Journal of Medicine

摘　　要：目的分析老年乳腺癌的临床特点,探讨如何提高老年女性乳腺癌的疗效。方法回顾分析2000年1月至2007年1月收治的行手术治疗的73例60岁以上老年女性乳腺癌患者的临床资料。结果73例患者全部接受手术治疗。手术方式以乳腺癌改良根治术和乳房全切除术为主。术后辅助化疗32例,术后辅助内分泌治疗23例。术后并发症主要为皮下积液。结论老年女性乳腺癌治疗应以外科手术为主,辅以化疗和内分泌治疗。年龄并非是手术禁忌证,但应重视并处理好并存疾病。Objective To discuss how to improve the effect of surgical treatment on aged women with breast cancer by analyzing the characteristics of aged women breast cancer. Methods The clinical data of the 73 patients who underwent operation recruited from 2000 to 2007 were retrospectively analyzed. Results All of 73 cases received opera- tion. The operation was mainly modified radical mastectomy and mastectomy. 32 patients received chemotherapy and 23 received endocrine therapy postoperation. The most of postoperative complications was subcutaneous dropsy. Conclusions Operation should be the main way of treatment in aged women with breast cancer, and should combine with adjunct chemotherapy and endocrine therapy. Aging is not the contraindication of the operation, but the coexisted disease should be paid more attention.

关 键 词：乳腺肿瘤 老年 外科治疗 

分 类 号：R737.9[医药卫生—肿瘤]