目的了解乳腺癌的发病规律、治疗方法及预期效果等。方法将2001～2010年入住河北省秦皇岛市肿瘤(第四)医院和乐亭县妇幼保健院的208例患者纳入随诊组,共完成随诊110例,从患者发病年龄、症状特点、治疗措施及疗效、预后转归等多方面分析,从中找出易患乳腺癌的因素及影响治疗效果的原因和容易复发转移的高位因素等。结果根据资料显示,发病年龄多为41～50岁,发病月份高峰有3个:3月、8月、9月;症状特点:以乳腺疼痛就诊病例最多(45例),其次是以发现肿块或乳头溢液为首发症状就诊;治疗方法:90例手术治疗;20例保乳治疗;81例化疗;70例放疗;87例内分泌治疗。结论总结发病年龄和发病月份高峰,指出肿块大小、病理类型、就诊期别早晚和治疗规范程度是复发转移的直接影响因素。因此,提醒医生,对存有不良预后因素的患者,要积极采取早诊、早治的原则,尽量规范治疗措施,减少复发转移机率。 Objective To understand the incidence of breast cancer, treatment and expected results. Methods A total of 208 patients admitted to the Tumor (Fourth) Hospital of Qinhuangdao City in Hebei Province and MCH Hospital of Laoting County from 2001 to 2010 were included in the follow-up group. A total of 110 cases were followed up, and their age, symptom characteristics, treatment measures And efficacy, prognosis and other aspects of the prognosis to find out the factors that predispose to breast cancer and the reasons for the treatment effect and the high recurrence and metastasis factors. Results According to the data, the age of onset was mostly between 41 and 50 years old, and there were 3 peaks in the month of onset: March, August and September. Symptoms and features: The most cases were treated with breast pain (45 cases) Nipple discharge as the first symptom treatment; treatment: 90 cases of surgical treatment; 20 cases of breast-conserving treatment; 81 cases of chemotherapy; 70 cases of radiotherapy; 87 cases of endocrine therapy. Conclusion The age of onset and the peak of the month of onset are summarized. It is pointed out that the size of the tumor, the pathological type, the early or late treatment and the extent of treatment are the direct influencing factors of recurrence and metastasis. Therefore, to remind doctors, patients with adverse prognostic factors should actively take the principle of early diagnosis and early treatment, try to standardize treatment and reduce the chance of recurrence and metastasis.