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目的对老年乳腺癌患者的临床特点以及治疗情况进行分析与探讨,总结老年乳腺癌合理化治疗方案。方法 36例老年乳腺癌患者的临床资料,分别对其临床特点以及治疗效果进行回顾性分析,复习相关文献。结果 36例患者行乳腺癌改良根治术的有25例,保乳根治术8例,单纯乳房切除的2例,乳腺部分切除的有1例。术后接受辅助化疗共6例,Ac方案5例,口服化疗卡培他滨1例。放疗8例。接受内分泌治疗35例,除1例患者未能随访外,其余所有病例全部随访1~3年。目前健康状况良好。结论高龄女性乳腺癌应早发现、早诊断、早治疗,治疗方案以外科手术为主的综合治疗,强调内分泌治疗的重要性,根据患者具体情况选择放化疗方案。
Objective To analyze and discuss the clinical features and treatment of elderly patients with breast cancer and summarize the rationalized treatment plan for elderly patients with breast cancer. Methods The clinical data of 36 elderly patients with breast cancer were retrospectively analyzed on their clinical features and therapeutic effects, and the related literatures were reviewed. Results Twenty-six patients underwent radical mastectomy for breast cancer in 25, radical mastectomy in 8, simple mastectomy in 2 and partial mastectomy in 1. Postoperative adjuvant chemotherapy in 6 cases, Ac regimen in 5 cases, oral chemotherapy capecitabine in 1 case. Radiotherapy in 8 cases. Endocrine therapy in 35 cases, with the exception of 1 patient failed to follow up, all other cases were followed up for 1 to 3 years. Currently in good health. Conclusion The elderly women with breast cancer should be detected early, early diagnosis, early treatment, and surgical treatment based on the comprehensive treatment, emphasizing the importance of endocrine therapy, according to the specific circumstances of patients choose radiotherapy and chemotherapy program.