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目的探讨男性乳腺癌的诊断与治疗方法及预后因素。方法对16年间收治的19例男性乳腺癌患者的临床资料进行回顾性分析。结果 10例行根治术,扩大根治术1例,5例改良根治术,3例单纯乳房切除术,术后放疗16例,放疗+化疗15例,化疗+内分泌治疗6例,iv期5年内无死亡,获随访19例,1例死亡。5年生存率84%,10年生存率61%。结论男性乳腺癌发病率低,临床分期晚,早期易转移。外科手术联合放、化疗、内分泌治疗是男性乳腺癌的理想治疗方案。乳腺癌的预后与腋窝淋巴结转移情况和临床分期密切相关。
Objective To investigate the diagnosis and treatment of male breast cancer and its prognostic factors. Methods The clinical data of 19 cases of breast cancer admitted to our hospital during 16 years were analyzed retrospectively. Results In 10 cases, radical mastectomy was performed in one case, radical mastectomy was performed in 5 cases, modified mastectomy in 5 cases, simple mastectomy in 3 cases, postoperative radiotherapy in 16 cases, radiotherapy + chemotherapy in 15 cases, chemotherapy + endocrine therapy in 6 cases, Died, were followed up in 19 cases, 1 case of death. 5-year survival rate of 84%, 10-year survival rate of 61%. Conclusion The incidence of male breast cancer is low, the clinical stage is late, and the early stage is easy to metastasize. Surgery combined radiotherapy and chemotherapy, endocrine therapy is the ideal treatment for male breast cancer. The prognosis of breast cancer and axillary lymph node metastasis and clinical stage are closely related.