炎性乳癌的治疗  

Treatment of inflammatory breast cancer

作　　者：张丽丽[1] 于学智[1] 付容湛[1] 顾禾[1] 郭源[1] 李兆亭[1] 

机构地区：[1]山东省千佛山医院普外中心,山东济南250014

出　　处：《中国普通外科杂志》2001年第5期394-396,共3页China Journal of General Surgery

摘　　要：目的　探讨炎性乳癌的综合治疗效果。方法　对 2 5例炎性乳癌患者的临床表现、病理类型及治疗方法进行回顾性分析。结果　 2 5例均经手术切除 ,经典式根治术 12例 ,经典式根治术加背阔肌瓣包盖腋静脉 4例 ,姑息性切除术 9例。术前化疗 2 0例 ,术后化疗 2 1例 ,11例行内分泌治疗。随访 14例 ,生存期为 0 .5～ 5年 ,平均存活 2 3个月 ;现仍存活 5例 (2个月～ 5年 )。结论　采用手术。Objective To evaluate the effect of combined therapy for inflammatory cancer of breast (ICB). Methods A retrospective analysis was made on the clinical manifestation, pathological type and treatment modalities of 25 patients with ICB from 1985 to 2000.Results All of the 25 patients were treated with mastectomy, including typical Halsted mastectomy in 12 cases, typical Halsted mastectomy with reconstruction of latissimus dorsi flap in 4, and palliative mastectomy in 9. Of the 21 patients 20 received preoperative chemotherapy; and all the 21 patients received postoperative chemotherpyl; while hormonal therapy was used in 11 cases. A mean survival was 23 months (0.5～5years) in 14 followed up patients; and now 5 patieats remain alive (2months～5 years). Conclusions A combined therapy consisting of chemotherapy, surgery and hormonal therapy may improve the prognosis of ICB.

关 键 词：乳腺肿瘤/治疗 癌 硬/治疗 癌 导管/治疗 

分 类 号：R737.905[医药卫生—肿瘤]