乳腺癌皮肤浸润及其临床相关因素  

Skin Infiltration of Breast Carcinoma and Its Relevent Factors

作　　者：葛旭明[1] 高方喜[1] 陈昊[1] 

机构地区：[1]江苏省连云港市第一人民医院,222002

出　　处：《医学理论与实践》2001年第6期495-497,共3页The Journal of Medical Theory and Practice

摘　　要：通过病理切片检查乳腺癌根治切除术切除的标本皮肤浸润情况及其与临床相关因素的关系。手术之前,以患乳皮肤上与肿块中央垂直的一点为中心,并从中心画相隔120°角的三条直线。标本取下后,将皮肤及其下5mm皮下组织从标本剥离。在三条线上切取标本病理检查。186例病理切片中发现皮肤有癌肿浸润15例。在各项观测指标中有意义的是癌肿与皮肤粘连。只有在皮肤与肿块粘连的情况下,才有皮肤浸润的可能。根据病情适当减少皮肤的切除范围,临床上有可操作性和安全性。Objective: To determine the skin infiltration by section-examing specimen excised of radical srugery for breast corcinonma, and its relevence to other clinical factors, so as to provide basis for reasonable skin excision. Methods: Before operation, three straight lines that were 120° apart, were drawn on the skin with one center which was on the vertical line of mass center. After the specimen was excised, the skin with 5mm subcutanius tissue was peeled, then full thick skin and subcutanius tissue were cut on the lines respectively for routine pathologic examination. In 186 specimens 15 were infiltrated in skin, all of which had adhesion between tumor and skin. Skin infiltration occurs only when there is adhesion between tumor and skin. So skin-excising extent could be appropriately reduced where there is no cdhesion between tumor and skin.

关 键 词：乳腺癌 皮肤 浸润 

分 类 号：R737.9[医药卫生—肿瘤]