乳腺黏液癌的临床病理分析  

Clinical pathological analysis of breast mucinous carcinoma

作　　者：何以郎 谢雷[2] 甄逸 

机构地区：[1]肇庆市第二人民医院病理科,广东肇庆526060 [2]肇庆市第二人民医院放射科

出　　处：《医药论坛杂志》2011年第23期30-31,共2页Journal of Medical Forum

摘　　要：目的探讨乳腺黏液癌的临床病理特点极其与预后的关系。方法回顾性分析2002年1月—2010年12月选择肇庆市第二人民医院收治的乳腺黏液癌6例患者的临床资料。结果 6例患者中,Ⅰ期1例,Ⅱ、Ⅲ和Ⅳ期分别为2例2、例和1例。诉症状:乳腺无痛性肿块4例,肿块伴疼痛1例,单纯乳头溢液1例。肿块大小分布与病程长短及其与淋巴结转移关系呈正相关。采用扩大根治术1例,根治术1例,改良根治术3例,保乳手术1例。随访时间10～63个月,中位随访时间27个月,无死亡患者,但是发生局部复发1例,复发率为16.7%。结论对于乳腺粘液癌患者,病理类型是预测乳腺黏液癌预后的独立因素,要同时提高患者和医师的警惕性,早期发现,早期治疗。Objective To investigate the clinical pathological features and prognosis of breast mucinous carcinoma.Methods Retrospectivy analyzed the clinical data of 6 patients of breast mucinous carcinoma treatd January 2002 to December 2010.Results Ⅰ were 1 case,Ⅱ,Ⅲ and Ⅳ were 2 cases,2 cases and 1 case.The complained symptoms： breast painless mass were 4 cases,mass with pain were 1 case,a simple nipple discharge were 1 case.The use of extended radical surgery was 1 case,radical surgery was 1 case,modified radical mastectomy were 3 cases,breast-conserving surgery was 1 case.Follow-up of 10~63 months,the median follow-up time was 27 months,no patients died,but the occurrence of local recurrence was 1 case,the recurrence rate was 16.7%.Conclusions For patients with mucinous carcinoma of breast,pathological type is the independent prognostic factors to predict the breast cancer,and both patients and physicians should to improve vigilance,early detection and early treatment.

关 键 词：乳腺黏液癌 临床病理特点 淋巴结转移 

分 类 号：R737.9[医药卫生—肿瘤]