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1964～1974年,我院共收治乳腺癌1101例,其中60岁以上患者160例,占同期全部乳腺癌的14.5％。本组老年乳腺癌中,男4例,女156例。伴发病有高血压和动脉硬化(42.5％),心脏疾患(36.5％),肺气肿(15.6％),慢支(15.0％),肺结核(10.0％)和其它疾病(6.9％)。随诊结果,女患者中有4例发生另一侧乳腺癌,3例发生其它器官的癌瘤。本组患者Ⅰ期10例,Ⅱ期81例,Ⅲ期59例,不能分期10例。4例男患者均行根治术,156例女患者中,1例行扩大根治术,90例行根治术,23例行仿根治术,42例行全乳腺切除术。腋淋巴结转移率男性为66.7％,女性为49.2％。总的五年和十年生存率分别为57.9％和43.1％。本文讨论了影响老年乳腺癌预后的有关因素,总结了老年乳腺癌的临床特点。
From 1964 to 1974, 1101 cases of breast cancer were treated in our hospital, including 160 patients over the age of 60, accounting for 14.5% of all breast cancers in the same period. This group of elderly breast cancer, 4 males and 156 females. Associated with hypertension and arteriosclerosis (42.5%), heart disease (36.5%), emphysema (15.6%), chronic bronchitis (15.0%), tuberculosis (10.0%) and other diseases (6.9%). As a result of follow-up consultations, 4 of the female patients developed breast cancer on the other side, and 3 had cancers of other organs. In this group of patients, 10 patients were in phase I, 81 in phase II, 59 in phase III, and 10 could not be staged. All 4 male patients underwent radical surgery. Of the 156 female patients, 1 underwent extended radical mastectomy, 90 underwent radical mastectomy, 23 underwent radical mastectomy, and 42 underwent full mastectomy. The rate of axillary lymph node metastasis was 66.7% in men and 49.2% in women. The overall five-year and 10-year survival rates were 57.9% and 43.1%, respectively. This article discusses the factors that affect the prognosis of elderly breast cancer and summarizes the clinical features of elderly breast cancer.