男性乳腺癌29例临床分析  

Analysis on male breast cancer:a report of 29 cases

作　　者：吴醒 斯岩[2] 凌立君[2] 

机构地区：[1]溧阳市人民医院乳腺外科,213300 [2]南京医科大学第一附属医院

出　　处：《江苏医药》2008年第12期1244-1245,共2页Jiangsu Medical Journal

摘　　要：目的探讨男性乳腺癌的诊断、治疗及预后特点。方法回顾性分析29例男性乳腺癌的临床资料。结果29例患者的中位年龄58.6岁,细针穿刺细胞学检查14例,发现肿瘤细胞13例(92.8%)。有腋窝淋巴结转移者18例。TNM分期:Ⅰ期3例,Ⅱ期10例,Ⅲ期13例,Ⅳ期3例。激素受体阳性者占82.8%。25例获得随访,死亡8例。结论男性乳腺癌临床少见,发病年龄偏大,容易误诊。细针穿刺细胞学检查诊断男性乳腺癌具有特殊意义。肿瘤分期和淋巴结转移状态是预示男性乳腺癌预后的最重要指标。Objective To analyze the diagnosis,treatment and prognosis of male breast cancer.Methods The clinical data of 29 male patients with breast cancer were analyzed retrospectively.Results The average age of 29 patients was 58.6 years old.Of 14 cases who received needling biopsy,13 cases（92.8%） were confirmed cytologically to be breast cancer.Eighteen patients had metastases of the axillary nodes.TNM staged Ⅰ in 3 cases,Ⅱ in 10 cases and Ⅲ in 13 cases.The major pathological type was typical invasive ductal carcinoma.The breast cancer positive rates of hormone receptor was 82.8%.Follow-up was completed in 25 cases,of which 8 patients died of advanced metastases.Conclusion Male breast cancer is an uncommon disease,which is seen mostly in aged people and easily misdiagnosed.Aspiration with a fine needle is a high sensitive diagnostic technique for cytological examination.The clinical stage and lymphatic node metastasis are the most important markers for predicting the prognosis of male breast cancer.

关 键 词：男性乳腺癌 

分 类 号：R737[医药卫生—肿瘤]