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目的：探讨汗腺癌不同病理组织学分级对复发和转移及预后的影响。方法：参照Ｂｌｏｏｍ－Ｒｉｃｈａｒｄｓｏｎ乳腺癌分级标准对１０５例汗腺癌进行分级，并探讨其与复发、转移和预后间的关系。结果：在１０５例汗腺癌中，属分化型者４２例，属低分化型者６３例，两者复发率、多次复发率、区域淋巴结转移率和远处转移率及死亡率比较，提示在多次复发、远处转移方面差异有显著性，在预后方面差异非常显著。结论：将汗腺癌按腺管形成多少、核的多形性和核分裂数进行病理组织学分级，对选择治疗、估计预后具有很大的指导意义
Objective: To investigate the effect of different histological grades of sweat gland cancer on recurrence, metastasis and prognosis. METHODS: 105 patients with sweat gland cancer were graded according to Bloom-Richardson breast cancer grading criteria, and their relationship with recurrence, metastasis, and prognosis was explored. Results: In 105 cases of sweat gland cancer, 42 cases were differentiated type and 63 cases were poorly differentiated type. The recurrence rate, multiple recurrence rate, regional lymph node metastasis rate, distant metastasis rate and mortality rate were compared between the two cases. There were significant differences in multiple recurrences and distant metastases, and there were significant differences in the prognosis. Conclusion: The histopathological grading of glandular adenocarcinoma, the number of pleomorphic nucleus, and the number of mitotic divisions of the glandular adenocarcinoma is of great significance for the selection of treatment and the estimation of prognosis.