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目的:探讨多原发三重癌的临床病理特征和诊疗现状。方法:本文回顾性分析1例甲状腺、乳腺和肺三重癌患者的病历资料及诊治过程。结果:本例患者的多原发三重癌均行手术治疗。由于本例患者为早期乳腺癌,并且雌激素受体阳性而淋巴结阴性,因此行21基因检测,复发评分为低风险,所以未行化疗。结论:多原发癌的治疗原则及预后与单发癌相似,雌激素受体阳性而淋巴结阴性的早期乳腺癌患者的治疗方案可以参考21基因复发评分系统。
Objective: To investigate the clinicopathological features and diagnosis and treatment of multiple primary triple carcinoma. Methods: This paper retrospectively analyzed 1 case of thyroid, breast and lung cancer patients with medical records and diagnosis and treatment process. Results: The patients with multiple primary triple carcinoma were undergone surgical treatment. Since this patient was an early stage breast cancer with a positive estrogen receptor and a negative lymph node, the line 21 gene was tested and the relapse score was low risk, so no chemotherapy was performed. CONCLUSIONS: The principle and prognosis of multiple primary cancers are similar to those of single-cell carcinoma. Treatment regimens for patients with early-stage breast cancer who are positive for estrogen receptor and negative for lymph node may be referred to the 21-gene recurrence scoring system.