男性乳腺癌临床分析:附14例报告
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汪令成 E-mail:achieve1466@163.com

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Male breast cancer: an analysis of 14 cases
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    摘要:

    目的:探讨男性乳腺癌的临床特点及治疗方法。
    方法:回顾性分析14年余本院收治的14例男性乳腺癌患者的临床资料。
    结果:14例中髓样癌占7.1%(1/14),浸润性导管癌占92.9%(13/14)。长径1.5~5.2 cm。1例(82岁)行单纯乳房切除,3例行乳癌根治术,10例行改良根治术;14例均行患侧腋窝淋巴结清除术,淋巴结转移率71.4%。12例随访9个月至14年,3例死亡,3例带瘤生存,6例无瘤生存; 2例失访。随访期间5年生存率58.3%,10年生存率16.7%。采用乳腺癌根治术3例以及采用乳腺癌改良根治术10例均治愈。
    结论:本组中以浸润性导管癌为主,易发生淋巴转移,预后差,10年生存率低。

    Abstract:

    Objective:To study the  clinical features and treatment of male breast cancer.
    Methods:The clinical data of 14 cases of male breast cancer admitted in our hospital during past 14 years were analyzed retrospectively.
    Results:Of the 14 patients, 7.1 percent (1/14)  was medullary carcinoma, the other 92.9% (13/14) were invasive ductal carcinoma. The tumor diameter was 1.5-5.2 cm.  Three patients underwent radical mastectomy and axillary lymphadenectomy, 10 patients had modified radical resection, and one patient had simple mastectomy. The lymph node metastasis rate was 71.4%. Twelve patients were followed up for 9 months to 12 years,  of them 3 cases died, 3 cases survived with tumor, 6 cases survived tumor-free, and 2 cases were lost to follow-up. The 5, 10-year survival rate was 58.3%, 16.7%, respectirely.
    Conclusions:The majority of male breast cancer cases were invasive ductal carcinoma which could easily develop lymph node metastasis, and has a poor prognosis and low survival rate.

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汪令成|王玉明|高迎飞|师贞宗.男性乳腺癌临床分析:附14例报告[J].中国普通外科杂志,2010,19(12):1327-1329.
DOI:10.7659/j. issn.1005-6947.2010.12.020

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  • 收稿日期:2010-03-11
  • 最后修改日期:2010-10-18
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  • 在线发布日期: 2010-12-15