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目的 :探讨老年乳腺癌患者的临床特点及对其进行放射治疗的效果。方法 :对2005年7月~2007年7月期间在我院进行治疗的102例乳腺癌患者的临床资料进行回顾性研究。我们将这102例乳腺癌患者中的52例老年乳腺癌患者作为甲组,将同期入院的50例青年乳腺癌患者作为乙组。我院对乙组患者进行常规治疗,对甲组患者在进行常规治疗(方法与乙组患者相同)的基础上,进行放射治疗。治疗结束后,比较两组患者的治疗效果,并分析甲组患者的临床特点。结果 :在52例甲组患者中,有36例患者患有乳房肿块,有9例患者患有乳头溢液,有7例患者患有乳头溃疡;她们中,有9例患者的病情临床分期为Ⅰ期,有32例患者的病情临床分期为Ⅱ期,有7例患者的病情临床分期为Ⅲ期,有4例患者的病情临床分期为Ⅳ期。治疗结束后,我院对甲组患者随访3年,统计其生存率为88.46%;随访5年,统计其生存率为82.69%。我院对乙组患者随访3年,统计其生存率为80%,随访5年,统计其生存率为64%。两组患者在治疗结束后3年和治疗结束后5年的生存率相比差异具有显著性(p<0.05)。结论 :乳房肿块、乳房溢液和乳头溃疡是老年乳腺癌的主要临床特点。对老年乳腺癌患者进行放射治疗疗效确切,而且安全、可靠。此治疗方法可以在临床上推广使用。
Objective: To investigate the clinical features of elderly patients with breast cancer and radiotherapy. Methods: The clinical data of 102 patients with breast cancer treated in our hospital from July 2005 to July 2007 were retrospectively studied. We will 52 cases of 102 cases of breast cancer in elderly patients with breast cancer as a group, the same period hospitalized 50 cases of young patients with breast cancer as a group B. In our hospital, the patients in Group B were treated routinely, and the patients in Group A were treated with radiotherapy on the basis of routine treatment (the same method as Group B). After treatment, the treatment effect of two groups of patients was compared, and the clinical features of patients in group A were analyzed. RESULTS: Of the 52 patients in group A, 36 had breast lumps, 9 had nipple discharges, and 7 had papillary ulcers; 9 of them, whose clinical stage was Stage Ⅰ, 32 patients with clinical stage Ⅱ, 7 patients with clinical stage Ⅲ, 4 patients with clinical stage of stage Ⅳ. At the end of treatment, patients in group A were followed up for 3 years and their survival rate was 88.46%. After 5 years of follow-up, the survival rate was 82.69%. In our hospital, patients in group B were followed up for 3 years, and their survival rate was 80%. After 5 years of follow-up, their survival rate was 64%. There were significant differences in survival between the two groups 3 years after the end of treatment and 5 years after the end of treatment (p <0.05). CONCLUSIONS: Breast lumps, breast effusions and papillary ulcers are the major clinical features of older breast cancer. Breast cancer in elderly patients with radiotherapy exact effect, but also safe and reliable. This treatment can be clinically used.