老年女性乳腺癌72例临床分析  

Clinical analysis of 72 elderly women with breast cancer

作　　者：李蔚萍[1] 陆琪[1] 程爱群[1] 胡天华[1] 李翔[1] 

机构地区：[1]复旦大学附属华东医院普外科,上海市200040

出　　处：《老年医学与保健》2010年第3期157-158,162,共3页Geriatrics & Health Care

摘　　要：目的探讨老年乳腺癌患者临床特点、手术方式及术后综合治疗选择，探讨老年乳腺癌外科治疗的最佳方案。方法对华东医院自2004年1月至2008年12月收治的72例≥65岁乳腺癌患者的临床资料进行回顾性分析。所有患者均行手术治疗，行乳腺癌改良根治术61例，乳房单纯切除术8例，乳房象限切除术3例。术后行化疗45例，放疗12例，行内分泌治疗患者58例。结果所有患者均顺利度过围手术期。出现皮下积液15例，切口感染2例。无一例出现严重并发症或原有并发症加剧。结论老年乳腺癌患者的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 analyze the clinical features, outcome of surgery and comprehensive postoperative treatment of the elderly women （ ≥ 65 years, 72 cases ） with breast cancer in order to investigate the most appropriate surgical therapy. Methods The clinical data of the 72 cases from Jan 2004 to Dec 2008 were retrospectively studied. All patients underwent operation. Among them, 61 cases, 8 cases and 3 cases underwent modified radical mastectomy, simple mastectomy and lumpectomy of breast, respectively. After surgery, 45 cases, 12 cases and 54 cases were treated with adjuvant chemotherapy treatment, post-operation adjuvant radiation and adjuvant endocrine treatment, respectively. Results All patients were suc- cessfully operated. All the patients survived during the perioperative period. Subcutaneous fluid occurred in 15 cases and wound infection in 2 cases. No severe complications occurred or no existing complications aggravated. Conclusions Elderly patients with breast cancer should be treated with surgery and supplemented by adjuvant chemotherapy and adjuvant endoc- rine treatment. Ageing is not a surgical contraindication. The coexistent diseases should be paid attention to and be dealt with properly.

关 键 词：老年 乳腺癌 外科手术 

分 类 号：R737[医药卫生—肿瘤]