单侧多中心性乳腺癌:附14例报告
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汪令生

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Unilateral multicentric breast cancer:a report of 14 cases
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    摘要:

    目的:探讨单侧多中心性乳腺癌的临床特点及治疗方法。
    方法:回顾性分析2004年7月—2007年12月14例单侧多中心性乳腺癌的临床资料。
    结果:14例中浸润性小叶癌占42.9%(6/14),浸润性导管癌占57.1%(8/14)。多中心性癌灶数目为2~9枚,直径0.5~4.3 cm,12例癌灶分布在外上象限;1例分布于外上象限和内上象限;1例分布于外上象限,及外上象限与内上象限,外上象限与外下象限交界处。1例采用保乳根治术,随访3~5年无复发;13例采用乳腺癌改良根治术,随访2~37个月无复发。
    结论:全组单侧多中心性乳腺癌病灶多分布在同一象限或相邻象限,以浸润性导管癌为主,治疗方法采用乳腺癌改良根治术为主的综合治疗。

    Abstract:

    Objective:To study the clinical features and treatment of unilateral multicentric breast cancer.
    Methods :The clinical data of 14 cases of unilateral multicentric breast cancer,which were found from July, 2004 to December, 2007 were analyzed retrospectively.
    Results:Six cases (42.9%) had infiltrating lobular carcinoma,and the other 8 cases (57.1%) were invasive ductal carcinoma. The number of cancer focus was 2 to 9,and with a diameter of 0.5-4.3 cm.The focus in 12 cases were located in upper lateral quadrant; 1 case was located in the upper medial and lateral quadrant; 1 case was located in the upper lateral quadrants, the junction area of upper medial and upper lateral quadrants,and between upper lateral quadrant and lower lateral quadrants. One patient was treated by breast conservation operation, with no recurrence at 3-5 years follow-up; while the other 13 cases received modified radical operation,and with no recurrence at 2-37 months of follow-up.
    Conclusions:Unilateral multicentric breast cancer are often distributed in the same quadrant or adjacent quadrants of breast,and the majority cases are with invasive ductal carcinoma. For treatment of these lesions were a modified radical operation combine with comprehensive treatment.

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汪令成, 汪令生, 王玉明, 朱美俐.单侧多中心性乳腺癌:附14例报告[J].中国普通外科杂志,2009,18(5):2-437.
DOI:10.7659/j. issn.1005-6947.2009.05.002

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  • 在线发布日期: 2009-05-25