乳腺癌复发转移的相关因素分析  

Related Factors of Recurrence and Metastasis in Breast Cancer

作　　者：冯英[1] 侯如蓉[1] 徐涛[1] 黄涛[1] 

机构地区：[1]太原市中心医院,山西太原030009

出　　处：《山西职工医学院学报》2002年第3期12-13,共2页Journal of Shanxi Medical College for Continuing Education

摘　　要：目的 :分析乳腺癌复发转移的相关因素。方法 :对 1990年 1月至 2 0 0 1年 12月收治的 5 6 3例乳腺癌患者进行回顾性总结分析。结果 :6 9例发生复发转移 ,占 12 3%。乳腺癌原发肿块大于 5cm ,位于外上、内上象限及乳晕区 ,未做腋淋巴结清扫及腋下淋巴结转移大于 4个 ,术后未放疗 ,未化疗及化疗少于 6周期 ,未服三苯胺及服药时间不足 2a者 ,复发转移率明显高于原发肿块小于 5cm ,位于其他部位 ,腋下淋巴结 (- )及腋下淋巴结转移小于等于 4个 ,术后放疗 ,化疗 6周以上 ,口服三苯氧胺 2a以上者 (P <0 0 0 5 )。浸润性癌复发转移率高于非浸润性癌 (P <0 0 2 5 )。结论 :乳腺癌复发转移与原发肿块的大小、位置、病理类型、腋窝淋巴结转移情况、术后放疗。Objective To analyze the related factors of recurrence and metastasis in breast cancer.Methods Between Jan.1990 and Dec.2001,563 breast cancer patients who received treatment were summarized and analyzed retrospectively.Results recurrence and metastasis in 69,accounting for 12.3% with original mass of breast cancer bigger than 5 cm,locating in the upper quadrant of mamma and mammilla,without dissection of axillary lymph nodes or with positive lymph nodes more than 4,without radiotherapy or chemotherapy and with duration of chemotherapy less than 6,without taking tamoxifen(TAM) or with the time of administration less than 2 years.Conclusion Infrltration cancer were closely related with the size,location,pathological types,positive axillary lymph nodes following radiotherapy,chemotherapy and endocrine treatment.

关 键 词：乳腺癌 复发转移 相关因素 

分 类 号：R737.9[医药卫生—肿瘤]