100例女性腋窝肿块的临床诊治分析  

Analysis of clinical diagnosis and treatment of 100 cases of female axillary mass

作　　者：李萌 尚进[1] 赵瑞星[1] LI Meng;SHANG Jin;ZHAO Rui-xing(Breast Surgery Department,Xi＇an No.4 Hospital,Xi＇an 710004,China)

机构地区：[1]西安市第四医院乳腺外科,710004

出　　处：《临床医学研究与实践》2018年第32期61-63,共3页Clinical Research and Practice

摘　　要：目的分析临床常见的女性腋窝肿块相关疾病的临床特征和治疗。方法回顾性分析我院2012年6月至2017年6月收治的100例女性腋窝肿块患者的临床病例。结果在100例女性腋窝肿块患者中,97例为良性病变,3例为恶性病变,包括1例淋巴瘤及2例隐匿性乳腺癌。50岁以上女性恶性疾病发病率显著高于50岁以下女性(P=0.006),且主要表现为无明显临床症状的腋窝肿块。61例副乳极其病变患者行肿块切除手术,术后伤口均Ⅰ期愈合,疗效满意;31例肿大淋巴结中,6例淋巴结增生及15例淋巴结炎均予以口服抗生素后淋巴结软化缩小,其余10例肿大淋巴结予以手术切除,术后伤口Ⅰ期愈合拆线;2例隐匿性乳腺癌的患者行乳腺癌改良根治术,术后伤口Ⅰ期愈合,予以化疗等综合治疗,定期随访。结论女性腋窝肿块病因多种多样,良性疾病多见,但仍有恶性病变可能,对于50岁以上女性,发现腋窝质硬肿块,应考虑到乳腺隐匿性癌的可能,需及时采集详细的病史并进行超声检查,以便尽早诊断并接受治疗。Objective To investigate the clinical diagnosis and treatment of female axillary mass related diseases.Methods The clinical data of 100 female axillary masses admitted in our hospital from June 2012 to June 2017 wereretrospectively analyzed. Results In 100 cases of female axillary mass, 97 cases were benign lesion and 3 cases weremalignant lesion, included1 cases of lymphoma and 2 cases of occult breast cancer; the incidence of malignant diseases inwomen over 50 years was significantly higher than that in women under 50 years old the age of 50 is significantly higherthan that in women under 50 years of age （P=0.006）, and the main manifestations were axillary masses with no obviousclinical symptoms. Sixty -one patients with accessory mammary diseases underwent mass resection, and all the woundshealed in the Ⅰ stage after operation, and the curative effecst were satisfactory; in 31 patients with enlarged lymph nodes,6 cases of lymph nodes hyperplasia and 15 cases of adenolymphitis were treated with oral antibiotics results lymph nodesmalacia and reduction. The remaining 10 patients with enlarged lymph nodes were surgically resected, and the wound washealed in the Ⅰ stage after operation, and 2 patients with occult breast cancer were treated with modified radicalmastectomy the wound was healed in the Ⅰ stage after operation, received comprehensive treatment such as chemotherapy,regular follow-up. Conclusion The etiology of axillary masses in women is varied, benign diseases are more common, butthere are still possibility of malignant lesions. For women over 50 years of age, the possibility of occult breast cancer shouldbe taken into account when finding axillary masses, timely collection of detailed medical history and ultrasonic examinationare required for early diagnosis and treatment.

关 键 词：腋窝 肿块 隐匿性乳腺癌 

分 类 号：R737.9[医药卫生—肿瘤]