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目的 探讨乳腺瘤根治术后锁骨上淋巴结转移及远处转移病例的临床病程及预后。方法 共收治109例,其中锁骨上淋巴结转移26例(A组);远处转移83例(B组)。总结两组病例初次治疗后出现转移的时间(简称为转移时间)及生存率等情况。结果 A、B两组病例的转移时间(中位数)为16及21个月,P>0.05。A组54%在135个月(2～34个月)内出现远处转移;B组37%在6个月(0～80个月)内出现其他部位的远处转移,P>0.05。两组病例的2年和5年生存率分别为442%、109%(A组)及431%、136%(B组),P>0.05。结论 本文提示乳腺癌术后锁骨上淋巴结转移病例的临床病程及生存率与远处转移病例的相近。
Objective To investigate the clinical course and prognosis of patients with metastasis of supraclavicular lymph nodes and distant metastases after radical mastectomy. Methods A total of 109 cases were treated, including 26 cases of supraclavicular lymph node metastasis (group A) and 83 cases of distant metastases (group B). Summarize the time of metastasis (referred to as metastasis time) and survival rate of the two groups after the initial treatment. Results The transfer time (median) of A and B groups was 16 and 21 months, P>0.05. In group A, 54% had distant metastasis within 135 months (2 to 34 months); in group B, 37% had distant metastasis at other sites within 6 months (0 to 80 months), P>0.05. The 2-year and 5-year survival rates of the two groups were 442%, 109% (group A) and 431%, 136% (group B), respectively, P>0.05. Conclusion This article suggests that the clinical course and survival of patients with metastatic supraclavicular lymph node after breast cancer surgery are similar to those of distant metastases.