老年女性乳腺癌83例临床病理分析  

Clinicopathologic features of 83 elderly women with breast cancer

作　　者：孙鹏 李凌帆 黄涛 何升东 薛刚 SUN Peng;LI Lingfan;HUANG Tao;HE Shengdong;XUE Gang(Department of Burn ＆ Plastic Surgery,Chengdu General Hospital of PLA,Chengdu 610083,China)

机构地区：[1]解放军成都总医院烧伤整形科,四川成都610083

出　　处：《西北国防医学杂志》2018年第9期574-577,共4页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的:探讨我院83例老年女性乳腺癌患者的临床病理特点,为其诊治提供参考。方法:回顾性分析2012~2016年我院收治的83例老年(≥65岁)女性乳腺癌患者的临床资料,研究其临床病理特点。结果:本研究老年女性乳腺癌患者占同期全部乳腺癌患者的9.70%(83/856),81例已明确病理分期的乳腺癌标本中病理分期为Ⅰ期和Ⅱ期者较多,占80.24%(65/81)。患者激素受体阳性率较高,为73.49%(61/83)。所有患者均行乳腺全切术,无保乳病例。术后选择内分泌治疗者所占比例高,为62.65%(52/83),选择化疗者比例较低,为46.99%(39/83),选择放疗者比例更低,为21.69%(18/83)。结论:老年女性乳腺癌临床分期较早,复发风险低。治疗方式以手术治疗和内分泌治疗为主,但通常疗程不足,应进行规范化的标准治疗。Objective：To analyze the clinicopathologic features of elderly women with breast cancer,and to provide reference for its diagnosis and treatment.Methods：The clinical data of 83 elderly women （≥65 years） with breast cancer from 2012 to 2016 in our hospital were analyzed,and the clinicopathologic features of them were investigated. Results：The proportion of elderly breast cancer in all breast cancer was 9.70% （83/856）. The pathological stage was stage Ⅰ and stage Ⅱ accouted for 80.24% （65/83）.Hormone receptor positive rate was 73.49% （61/83）. All patients underwent total mastectomy. The proportion of endocrine therapy was higher（62.65%）.The proportion of chemical therapy and radiation therapy were lower（46.99% and 21.69%）.Conclusion： Clinical stage of elderly women with breast cancer is early, and the risk of recurrence is lower.Surgery and endocrine therapy are the main treatment methods,but the treatment is often inadequate, so standardized treatment should be carry on.

关 键 词：乳腺肿瘤 老年 临床病理特征 

分 类 号：R737.9[医药卫生—肿瘤]