乳腺癌复发高危因素-乳腺癌术后局部复发因素的探讨VIP免费

下载后可任意编辑乳腺癌复发高危因素_乳腺癌术后局部复发因素的探讨乳腺癌复发高危因素_乳腺癌术后局部复发因素的探讨 【摘要】 目的 乳腺癌术后局部复发率为 10%～30%,合并高危因素者可达34%～40%,其中以胸壁复发最为常见。本文探讨乳腺癌术后胸壁局部复发的相关因素,寻找预防和降低乳腺癌术后胸壁复发的有效措施。方法 回顾性分析乳腺癌术后局部复发而无远处转移的 39 例患者的临床资料。结果 本组患者占同期全部乳腺癌病例的 3.8%,其中 22 例(56.4%)在手术后 2 年内复发。T1～T4 复发率分别为 1.9%、2.3%、9.5%和 16.7%。腋窝淋巴结(-)与腋窝淋巴结(+)患者的胸壁复发率分别为 1.2%、5.6%,腋窝淋巴结转移≥3 个者复发率高达 13.5%,新辅助化疗、术后放疗的患者复发率分别为 2.1%、8.1%。明显低于未予相应治疗者。结论 腋窝淋巴结转移数目多、原发灶分期晚、未予恰当辅助治疗者易出现胸壁复发。对乳腺癌术后易复发的高危人群应法律规范化治疗,新辅助化疗、术后放疗是预防胸壁复发的有效措施。 【关键词】 乳腺癌;胸壁复发;放疗;预后 Analysis of Local Recurrence in Breast Cancer after Mastectomy JIA Hai-quan Anyang Tumor Hospital,Anyang, Henan province,Anyang xxxx,China 【Abstract】 Objective The local recurrent rate of breast cancer after mastectomy was 10%～30%,even 34%～40% in those with high risk factors. Of them, chest wall recurrence was the most common. This paper aims to explore the risk factors for chest wall recurrence after mastectomy,hoping to find an efficient way to prevent and reduce this complication.Methods 39 patients with local recurrence but no metastasis after mastectomy were retrospectively 1下载后可任意编辑reviewed.Results They account for 5.1% of all patients with breast cancer patients in the same period. Of them, 22 recurred within 2 years after operation. The recurrent rate of T1 ～ T4 was 1.9% 、 2.3% 、 9.5% and 16.7% respectively. Recurrence rate of chest wall in patients with or without axillary nodes metastasis was 5.6% and 1.2%. Moreover, if the...