双侧乳腺癌的诊治及预后分析(附13例报告)  

An Anajysis of Diagnasis,Treatment and prognosis in 13 Cases with Bilateral Breast Cancer

作　　者：颜晓敏[1] 孙太明[1] 陆清[1] 

机构地区：[1]上海市杨浦区妇幼保健院乳腺科(上海复旦大学妇产科医院杨浦新院),上海200082

出　　处：《现代肿瘤医学》2009年第10期1879-1880,共2页Journal of Modern Oncology

摘　　要：目的:探讨双侧乳腺癌的临床特征、治疗及预后。方法:回顾性分析我院1997年10月-2008年10月收治13例原发性双侧乳腺癌,均接受手术、化疗、放疗、内分泌等综合治疗。结果:本组13例中同时性双侧乳腺癌4例,异时性双侧乳腺癌9例,平均年龄49.5岁,病理类型以浸润性导管癌和特殊类型为主,随访至今,其中1例同时性双侧乳腺癌双侧病理分期均为Ⅱb,术后2年因骨、脑转移死亡。1例异时性双侧乳腺癌,第一癌病理分期为Ⅱb,第二癌病理分期为Ⅲa,术后3年(以第二次手术后时间计算)骨、肝转移死亡。结论:原发性双侧乳腺癌的预后与临床分期、年龄、同时性、异时性有关。Objective ：To study the characteristics, treatment and the prognosis of bilateral primary breast cancer （BPBC）. Methods： Clinicaldata of 13 cases with bilatal primary breast cancer was retrospectively studied. All patients underwent surgery, chemotherapy and radiotherapy. Rseults： Among 13 cases of bilateual primary breast there were 4 cases of bilateral synchronous breast cancer （ BSBC ） and 9 cases of bilateral asynchronous breast cancer （BABC）. Average age was 49.5 years. Pathological types were mostly invasive ductal carcinoma. One case of bilat- eral sychronous brease cancer（BSBC） ） with pathology staging of Ⅱ b, died of bone and brain metastasis 2 years after operation. One case of bilateral asynchronous breast cancer（BABC） with pathology staging Ⅱ a, died of liver metastasis 3 years after operation. Conclusion： Pathology stage, age, synchronous are important prognostic factors for bilateral breast cancer.

关 键 词：双侧乳腺癌 原发性 诊治 预后 

分 类 号：R737.9[医药卫生—肿瘤]