Clinico-pathological analysis of 50 cases of Male breast cancer
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摘要: 我院自1954年到1989年底共手术治疗50例男性乳腺癌,占同期经治可手术全部乳腺癌7050例的0.71%。其中Ⅰ期8例,Ⅱ期21例,Ⅲ期20例及原发双侧者1例(右侧Ⅱ期,左侧Ⅲ期)。行扩大根治手术者6例,传统根治手术者31例,改良根治术者6例,全乳切除者5例(原发双侧者两侧均行全乳切除术,按1例计算)及局部切除术者2例。本组病例的5年生存率为78.7%,10年生存率为31.6%。本研究同时对男性乳腺癌的发病及预后因素进行了探讨。Abstract: From 1954 to 1989, 50 cases of male breast cancer were treated surgicallyin Tianjin Cancer Hospital, accounted for 0.71% of 7050 breast cancers cases treated during the same period. There were 8 cases of stageⅠ,21 stageⅡ, 20 stage Ⅲ cases and 1 bilateral breast cancer. 6 extended radieal mastectomies, 31 traditional radical mastectomies,6 modified radical mastectomies, 5 simple mastectomies and 2 lumpectomies were performed. 5-year survival rate of all the cases was 78.7%, 10 year survival rate was 31.6%. Meanwhile, Factors of occurence and prognosis of male breast cancer were discussed in this essay.Prognosis of male breast cancer was related to classification. pathologieal type. State of axillary lymph nodes metastasis and adjuvant therapy. No relation was found with operation type. The factors which affect occurence of male breast cancer might be (1)liver disease(2)testis dis-ease (3)radiation damage(4)estrin treatment(5)grnecomasty(6)family history of cancer.
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Key words:
- Male breast cancer /
- Lymph node metastasis /
- Survival rate
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[1] 沈镇宙. 男性乳腺癌. 中华肿瘤杂志, 1979, 1(4): 287. [2] Robert W. Crichlow, MD. Male Breast Cancer. The Surgical Clinies of North America, 1990, 70(5): 1165-1177. [3] 万德森, 等. 男性乳腺癌. 肿瘤防治研究,1985, 12(3): 141. [4] 孙燕, 等. 男性乳腺癌的某些临床特点. 肿瘤防治研究, 1980, l(1): 92. [5] 王鼎, 等. 男性乳腺癌的临床及病理分析. 天津医药肿瘤学附刊. 1980 7(l): 2. [6] 宁连胜, 等. 女性乳头湿疹祥癌与乳腺癌浸润乳头之间区别的探讨. 当代肿瘤学杂志, 1994, l(3): 212. [7] Pradeep Bhagat, MD. The Male Breast and Malignant Neoplasma diagnosis Aspiration Biopsy Cytology. Cancer, 1990, 65(10): 2338. [8] J H Fallow. Effect of orehiectomy on Skelatal mafasta-sis of the male breast.Science, 1972, 95: 654. [9] Werner R. Beywoda. Breast Cancer in Men. Cancer, 1987, 60(6): 1337. [10] Daniel A. Vorobiof, MD. Nasally Administered Buserelin Complete Remission of Lung Metastases in Male Breast Cancer. Cancer, 1987, 59(4): 688. [11] Falsati A. Carcinoma of the male Breast. Ann Chir, 1977, 31: 975. [12] 李树玲. 乳腺痛防治研究现状. 国外医学肿瘤学分册, 1993, 20(4): 221.
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