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目的:探讨乳腺癌的临床特点以及治疗方法的评价。方法:收集1989年~1992年共573例完整的病例资料,按治疗方法分为手术组、手术+放疗、手术+化疗、手术+放疗+化疗、非手术组。对病例的一般临床特点及生存率进行统计学分析。结果 年龄35岁~55岁者占408例,发病部位外上象限为333例,病理实性癌占375例。不同治疗方法的生存率分5年和10年如下:手术组78%、62%,手术+化疗72%、45%,手术+放疗57%、40%手术+放疗+化疗60%、45%,非手术组35%。结论 乳腺癌高发病率年龄组为中年,病变多位于外上象限,病理多为浸润性非特殊性癌。治疗方法仍以手术治疗为首选,适当地配合放、化疗等。
Objective: To investigate the clinical features of breast cancer and the evaluation of treatment methods. Methods: A total of 573 cases were collected from 1989 to 1992. According to the treatment methods, they were divided into surgery group, surgery+radiotherapy, surgery+chemotherapy, surgery+radiotherapy+chemotherapy, and non-surgery group. The general clinical features and survival rates of the cases were statistically analyzed. Results A total of 408 patients aged 35 to 55 years were included in the study. 333 cases were located in the upper quadrant of the affected site, and 375 cases were pathological solid cancers. The survival rates of different treatment methods were 5 years and 10 years as follows: surgery group 78%, 62%, surgery + chemotherapy 72%, 45%, surgery + radiotherapy 57%, 40% surgery + radiotherapy + chemotherapy 60%, 45%, Non-surgical group 35%. Conclusions The high incidence of breast cancer is middle-aged in the age group. The lesions are mostly located in the outer quadrant. The pathology is mostly invasive non-specific cancer. The treatment method is still the first choice for surgical treatment, and appropriate combination of radiotherapy and chemotherapy.