12例隐匿性乳腺癌临床分析  

Diagnosis and Treatment of Occult Breast Cancer in 12 Cases

作　　者：吴瑛琦[1] 乔亚舜[1] 于光辉[1] 刘琪[1] 

机构地区：[1]赤峰市医院肿瘤外二科,内蒙古赤峰024000

出　　处：《内蒙古医学杂志》2014年第9期1052-1054,共3页Inner Mongolia Medical Journal

摘　　要：目的分析隐匿性乳腺癌诊断、治疗和预后情况,总结其诊断和治疗经验。方法回顾性分析12例隐匿性乳腺癌患者的临床资料,12例隐匿性乳腺癌患者中,1例行乳腺癌标准根治术,9例行乳腺癌改良根治术,2例行保乳根治术。结果在接受乳腺癌标准或改良根治术的10例患者中,有2例（占20%）在术后病理连续切片中发现原发灶,原发灶的最大直径为0.5~0.8 cm,2例均为浸润性导管癌。全组12例患者均获得了随访,随访时间为9~120个月。12例获得随访的患者中,2例死亡,2例术后局部复发,现带瘤生存;有1例行保乳根治术患者于术后36个月因浸润性导管癌行乳腺癌改良根治术;其余患者均无病生存。结论对以腋下淋巴结肿大为惟一临床表现、经肿物穿刺活检或切除活检确认为转移性腺癌的女性患者,应高度怀疑隐匿性乳腺癌的可能性。隐匿性乳腺癌的治疗方式可采用,乳腺癌标准根治术、改良根治术或保乳根治术。Objective To summarize the experience of diagnosis and treatment of occult breast cancer in 12 cases. Methods Clinicopathological data of 12 cases of occult breast cancerinitially presenting axillary mass alone treated in our department during Jan 1996 to Dec 2012 were retrospectively analyzed. The surgery included radical mastectomy in 1 case. modified radical mastectomy in 9 cases,breast- conserving treatment in l case. Results Follow- up,ranging from 9 ~ 120 months,was available in 12 cases. Among 12 cases who underwent mastectomy or axillary clearance. 2 cases died of distant metastases and 2 cases were still alive with local recurrence at the time of analysis. One of two cases who received breast- conserving treatment received mastectomy 36 months after the primary diagnosis of occult breast cancer,respectively. Others were alive without evidence of recurrence or metastases at the time of analysis. Conclusions Occult breast cancer should be taken into consideration in cases presenting with axillary metastasis of unknown primary origin. The treatment of occult breast cancer should include modified radical mastectomy /radical mastectomy or breast conserving surgery combined with breast irradiation.

关 键 词：乳腺肿瘤 隐匿性 肿瘤转移 腋淋巴结 乳房切除 

分 类 号：R737.9[医药卫生—肿瘤]