68例乳腺小管癌回顾性分析  

A retrospective analysis of 68 cases of breast tubular carcinoma

作　　者：昌广平[1] 杨玉美[2] 许守平[3] 杨欣璐 

机构地区：[1]哈尔滨医科大学附属第一医院重症医学科,哈尔滨150001 [2]哈尔滨医科大学附属第二医院第一手术室,哈尔滨150001 [3]哈尔滨医科大学附属肿瘤医院乳腺外科一病区,哈尔滨150001 [4]哈尔滨市红十字中心医院产科,哈尔滨150001

出　　处：《实用肿瘤学杂志》2014年第4期337-341,共5页Practical Oncology Journal

摘　　要：目的研究乳腺小管癌生物学特点、腋窝淋巴结转移与相关指标的关系，对上述因素影响治疗方式的选择进行回顾性分析。方法收集1987年6月-2014年3月来哈尔滨医科大学附属第一医院诊治的乳腺小管癌病人，进行病理蜡块的重新核对，并进行电话随访，了解小管癌病人的预后情况。结果68例乳腺小管癌病人中，腋窝淋巴结转移与肿瘤直径大小、组织学分级密切相关。所有病人中，仅1例病人复发，24例病人死于其他疾病，无远处转移或死于乳腺癌病人。结论乳腺小管癌预后良好，复发率低。同时，目前乳腺小管癌的治疗方式的选择不够合理，术前肿物空心针穿刺比例不够，外科腋窝分期没有给予充分重视，保乳率仍有提高的空间。Objective To investigate the biological characteristics, therapy selection of tubular breast carcinoma. Relationship between axillary lymph node metastasis and other factors are analyzed retrospectively. Methods Tubular carcinoma patients were collected in our hospital from June,1987 to March,2014. Paraffin tissues were re - checked again by pathology doctors and all patients were performed follow - up by telephone to e- valuate the prognosis. Results Sixty eight cases of tubular carcinoma of the breast were chosen. Axillary lymph node metastasis was closely related to tumor size and tumor grade in our research. In all patients, only one patient was relapsed, 24 patients died of other diseases, without distant metastasis or death of breast cancer. Conclusion Tubular breast carcinoma has a good prognosis with low recurrence rate. The treatment of tubular carcinoma is not quite reasonable. Preoperative core needle biopsy and surgery axillary staging should be paid more attention and breast conserving rate is still needed for improvement.

关 键 词：小管癌 乳腺癌 回顾性分析 

分 类 号：R737.9[医药卫生—肿瘤]