摘要
目的:探讨乳腺癌改良根治术后复发转移的相关因素。方法:选取行乳腺癌改良根治术治疗的50例患者作为研究对象。通过对患者的病理资料进行单因素、多因素分析,评估影响复发转移的相关因素。结果:年龄>45岁、浸润性非特殊癌、肿瘤局部分期及淋巴结分期较晚、ER/PR为阳性以及未完成或未做化疗者复发率均相对较高;原发肿瘤大小、腋淋巴结转移数量以及脉管癌栓是导致乳腺癌复发转移的危险因素(P<0.05)。结论:加强对乳腺癌患者术后定期随访,规范化进行乳腺癌改良根治术,强化患者术后综合治疗,可降低复发转移危险,改善患者生存质量。
Objective:To explore the factors related to the recurrence and metastasis after modified radical mastectomy for breast cancer.Methods:Fifty patients who underwent modified radical mastectomy for breast cancer were selected as the research subjects.The relevant factors affecting the recurrence and metastasis of the patients were evaluated by single-factor and multi-factor analysis of their pathological data.Results:The recurrence rate was relatively high in those who were older than 45 years old,invasive non-special cancer,partial tumor stage and late lymph node staging,positive ER/PR,and had not completed or received chemotherapy.The size of the tumor,the number of axillary lymph node metastases,and vascular tumor thrombus were risk factors for the recurrence and metastasis of breast cancer.Conclusion:The risks of recurrence and metastasis can be reduced by strengthening the regular follow-up to breast cancer patients after operation and comprehensive postoperative treatment and standardizing the modified radical mastectomy for breast cancer and their quality of life can be improved.
作者
廖德生
蒋午
LIAO Desheng;JIANG Wu(Department of Thyroid and Breast Surgery,Yancheng Hospital affiliated to Nanjing University of Chinese Medicine,Jiangsu Yancheng 224201,China)
出处
《上海医药》
CAS
2020年第21期47-49,共3页
Shanghai Medical & Pharmaceutical Journal
关键词
乳腺癌改良根治术
复发因素
转移因素
modified radical mastectomy for breast cancer
recurrence factors
metastasis factors
