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目的 探讨乳癌根治术后长期生存相关因素。方法 本文重点对56例无瘤生存15年以上的乳癌术后病例的肿瘤原发灶大小、腋窝淋巴结转移等等因素进行了分析。结果 本组病例肿瘤原发灶的长径平均直径为4.0cm,同测腋窝淋巴结转移阴性占60％,同侧腋窝淋巴结有转移者平均转移数为3.5枚。结论 据此作者认为乳癌原发灶为T_2以内,腋窝淋巴结无转移或转移数在1～3枚者,其预后要明显好于T_2以上、腋窝淋巴结转移在4枚以上者。为乳癌术后预后判定及其辅助治疗具有一定的指导作用。
Objective To investigate the long-term survival related factors after radical operation of breast cancer. Methods The focus of this study was to analyze the primary tumor size, axillary lymph node metastasis and other factors in 56 cases of breast cancer who survived more than 15 years without any tumor. Results The major diameter of primary tumor in this group of patients was 4.0 cm in diameter. The negative axillary lymph node metastasis was 60% negative in the same group and 3.5 in the ipsilateral axillary lymph node. Conclusion According to the author’s opinion, the primary tumor of breast cancer within T_2, no metastasis or metastasis of axillary lymph nodes in 1 to 3, the prognosis was significantly better than T_2, axillary lymph node metastasis in more than 4. It can be used as a guide for postoperative prognosis and adjuvant therapy of breast cancer.