副乳腺癌诊治探讨  

Diagnosis and treatment of accessory breast cancer

作　　者：韩学东[1] 甄林林[1] 

机构地区：[1]南京医科大学附属淮安第一医院普外科,江苏淮安223300

出　　处：《四川医学》2010年第1期61-62,共2页Sichuan Medical Journal

摘　　要：目的探讨副乳腺癌的临床特点及诊治方法。方法对我院1991年1月-2004年7月收治的6例副乳腺癌患者的临床资料进行回顾性研究。结果本组6例患者中浸润性导管癌3例，导管内癌1例，髓样癌2例。手术行改良根治术4例，副乳腺区扩大切除加腋窝淋巴清扫2例。术后均予化疗，3例行放疗，2例行内分泌治疗。随访2年8个月-10年2个月，1例术后1年5个月复发，2年8个月肝转移；1例术后10年2个月出现第2原发癌；4例无病生存。结论副乳腺癌是一种临床少见而预后较差肿瘤，诊断主要依据影像学资料和术后病理。治疗应遵循以手术为主的综合治疗。手术方法推荐副乳腺区扩大切除加腋窝淋巴清扫。Objective To investigate the clinical characteristics, diagnosis and treatment of accessory breast cancer. Methods 6 patients with accessory breast cancer were admitted from January 1991 to July 2004 ,and their documents were retrospectively analyzed. Results They were 3 casers of invasive duct carcinoma, 1 case of intraductal papillary carcinoma, and 2 cases of medullary carcinoma. Of the 6 cases,4 cases underwent modified radical mastectomy, the other 2 cases underwent accessory breast enlarged resection and axiUary lymph node desection. They all received chemotherapy ,3 cases received radiotherapy and 2 cases received tamoxifen therapy. All cases were followed up from 2 years and 8 months to 10 years and 2 months. 5 years survival rate was 33.3%. Conclusion Accessory breast cancer is rare but aggressive. The diagnosis is mainly depended on imaging resuits and postoperative pathology. Combined therapy principle dominated by surgery should be followed. The operation of accessory breast enlarged resection and axillary lymph node dessection should be indicated.

关 键 词：副乳腺肿瘤 手术 综合治疗 

分 类 号：R737.9[医药卫生—肿瘤]