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本文报告６０岁以上老人乳腺癌１９３例。其中女性１８２例，男性１１例。女、男之比为１６．５∶１。发病年龄为６０～９１岁。其中６０～６９岁为１７１例，占８８．６％。７０岁以上者２２例，占１１．４％。本组病例均为已婚男、女，其中未生育者２３例，其余均为有生育能力的妇女。生育５胎以上者９１例，占５０％（９１／１８２）。５０岁以上闭经者占５７．１％，平均闭经年龄５２．７岁，显示多生育者及闭经晚者易患乳腺癌。老年乳腺癌病程长，最长达４８０个月，一年之内确诊只占４６．６％，平均确诊时间为３５．５个月。老年乳腺癌并发疾病多，１９３例中７９例合并不同疾病，如糖尿病、高血压、冠心病等。一年之内死亡的４０例中，除９例死于癌症晚期外，其余３１例均死于并发病。本组病例１、３、５年生存率分别为７９．３％、６７．４％、４８．７％。单纯手术组１３３例，合并化，放疗组６０例，化、放疗综合治疗并没有提高生存期。我们认为老年乳腺癌治疗应以手术为主加激素治疗的综合治疗措施。
This article reports 193 cases of breast cancer in the elderly over the age of 60. There were 182 females and 11 males. The ratio of female to male is 16.5:1. The age of onset is 60 to 91 years old. Among them, 171 cases aged 60 to 69 accounted for 88.6%. Twenty-two patients over the age of 70 accounted for 11.4%. The patients in this group were married males and females, of whom 23 were not born and the rest were women with fertility. Ninety-one children had more than 5 births, accounting for 50% (91/182). The rate of amenorrhea among those over the age of 50 accounted for 57.1%, and the average amenorrhea age was 52.7 years. This indicates that multiple births and late amenorrhea are susceptible to breast cancer. Elderly breast cancer has a long duration of up to 480 months. Within a year, the diagnosis is only 46.6%. The average diagnosis time is 35.5 months. There were many complications of breast cancer in the elderly, 79 of 193 cases were associated with different diseases such as diabetes, hypertension, and coronary heart disease. Of the 40 cases that died within a year, except 9 cases who died of advanced cancer, the remaining 31 cases died of complications. The 1, 3, and 5-year survival rates in this group were 79.3%, 67.4%, and 48.7%, respectively. There were 133 cases in the simple surgery group, 60 cases in the combined and radiotherapy group, and comprehensive treatment with chemotherapy and radiotherapy did not improve the survival period. We believe that the treatment of elderly breast cancer should be based on the combination of surgery and hormone therapy.