536例女性乳腺癌患者年龄构成与病理类型分析  

Age composition and pathological types of 536 female cases of breast cancer

作　　者：汤红平[1] 黄犁[1] 张雁瑞[1] 梁冠男[1] 陈国艳[1] 卢翔宇[1] 

机构地区：[1]南方医科大学附属深圳市妇幼保健院病理科,广东深圳518028

出　　处：《中国妇幼健康研究》2013年第2期209-210,218,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的研究并分析近年来发病的女性乳腺癌患者年龄及病理类型的构成情况，为乳腺保健及乳腺癌防治提供资料及线索。方法收集2007年1月至2011年12月深圳市妇幼保健院收治经病理确诊的女性乳腺癌患者536例，对其年龄和病理类型进行分析。结果近5年来每年新确诊女性乳腺癌病例呈逐年增加趋势（r=526．944，P〈0．001）。患者年龄27～83岁，中位年龄44岁，发病高峰出现在40～49岁。病理类型以非特殊类型浸润性癌为主，占73．9％，其中以浸润性导管癌居多，占70．0％。乳腺特殊类型浸润癌占6．5％，非浸润性癌和微小浸润癌分别占9．0％和7．8％。结论近年来我院确诊的女性乳腺癌病例有逐年增加趋势。患者平均年龄构成较年轻，早期乳腺癌所占比例较高。今后应继续加强广大妇女尤其是30—49岁较年轻女性乳腺癌相关防治知识的宣传教育以及乳腺癌筛查的力度。Objective To study and analyze the age composition and pathological types of female patients with breast cancer in recent years, and to provide bases and clues for breast healthcare and control of breast cancer. Methods The age and pathological types of 536 female patients with breast cancer, who were pathologically confirmed in Shenzhen Maternity and Child Healthcare Hospital from January 2007 to December 2011, were collected and analyzed. Results There was an ascending tendency in the number of diagnosed cases in each of last 5 years （X2 =526. 944 ,P 〈0. 001 ）. Age of patients ranged from 27 to 83 years and the median age was 48 years. The onset age with highest incidence ranged from 40 to 49 years. The major pathological type was non-specific invasive breast carcinoma （73.9%）, most of which was invasive ductal carcinoma （70.0%）. Specific invasive breast carcinoma accounted for 6.5%. The non-invasive carcinoma and microinvasive carcinoma occupied 9.0% and 7.8%, respectively. Conclusion There is an asee＇tiding tendency in the number of female cases diagnosed with breast cancer in the hospital. The average age is relatively young and the cases at early stage are relatively increased. In the future, publicity ar~,, education on breast cancer prevention should be continued to strengthen and breast cancer screening for women, esoecially 30-49 years old women, needs to be improved.

关 键 词：乳腺癌 发病年龄 病理类型 分析 

分 类 号：R737.9[医药卫生—肿瘤]