365例乳腺肿块外科诊疗的临床分析  

Analysis of surgical treatments for breast tumors in 365 cases

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作  者:贾玉生[1] 李刚[1] 臧长运[1] 

机构地区:[1]泰山医学院第一教学医院肿瘤外科,山东泰安271000

出  处:《泰山医学院学报》2003年第3期255-256,共2页Journal of Taishan Medical College

摘  要:目的 通过对 36 5例乳腺肿块外科治疗的临床分析 ,为合理诊疗乳腺肿块提供参考。方法 总结本科自 1991年 1月~ 1998年 12月收治的乳腺肿块 36 5例 ,其中 2 0 4例经术中快速病理确诊为乳腺癌 ,占总数的 5 6 %。按TNM分期Ⅰ期 5 0例 ,Ⅱ期 10 5例 ,Ⅲ期 39例 ,Ⅳ期 10例。结果 行扩大根治术 4例 ,根治术 8例 ,改良根治术182例 ,单纯乳房切除 7例 ,单纯象限切除 3例。术后并发皮缘部分坏死 5例 ,切口部分裂开 3例 ,皮下积液 2 2例 ,患侧上肢上举外展受限 7例 ,水肿 2例。结论 乳腺肿块怀疑恶性时 ,术中快速病理确诊 ,有助于 ,合理选择手术方式 ,减少术后并发症 。Objective:To analyze the surgical treatments of 365 cases of breast tumor in-patients. Methods: A review was made of 365 cases of in-patients with breast tumors from January, 1991 to December, 1998. Of the 204 cases diagnosed carcinomas by fast pathology during operations, 50 cases of the patients were at stage I, 105 cases at stage II, 39 cases at stage III, 10 cases at stage IV according to TNM classification. Results: Eight cases underwent radical mastectomy, 152 cases modified radical mastectomy, 4 cases extensive radical mastectomy, 7 cases total mastectomy, and 3 cases lumpectomy. In the postoperative syndromes, there were 5 cases of partial skin brim putrescence, 3 cases of partial incisions dehiscence, 22 cases of subcutaneous stagnant water, 7 cases of upper limbs abduction limit restricted, and 2 cases of edema. Conclusion: When breast tumors are thought of carcinomas, a diagnosis should be made by fast pathology during operation so that correct operating modes can be choosen and operative syndromes be reduced and life qualities be improved.

关 键 词:乳腺肿块 乳腺癌 术中病理 分析 

分 类 号:R737.9[医药卫生—肿瘤]

 

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