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本文报告了28例双侧乳癌,有7例第二例为转移性癌,其中名创放弃手术而死亡,24例第二例癌经手术治疗,并辅以化疗、放疗等综合治疗,水后2年、3年、5年和10年生存率分别为92.8%、82.1%、53.57%和21.43%,与同期总的乳腺癌5年生存率相差无几.第二例癌发生的最短时间距第一例癌术后7个月,最长时间为14年。第一例癌平均发病年龄为45岁,第二例癌为49岁。第一、第二例乳癌均以T2占大多数,T1仅1例次,T3为12例次,T4病例没有。病理类型以浸润性导管疾最多,其次为单纯癌。笔者认为观测乳癌的生存率与总体乳疾的生存率相差无几,一旦发现在积极处理,只要处理得当,预后还是相当好的。
This article reports 28 cases of bilateral breast cancer, 7 cases of the second case of metastatic cancer, which died after giving up surgery, 24 cases of the second case of surgical treatment of cancer, supplemented by chemotherapy, radiotherapy and other comprehensive treatment, after water The 2-year, 3-year, 5-year, and 10-year survival rates were 92.8%, 82.1%, 53.57%, and 21.43%, respectively, which were comparable to the 5-year overall survival rate of breast cancer in the same period. The second case of cancer occurred at the shortest time from the first case of cancer 7 months after operation, and the longest time was 14 years. In the first case, the average age of onset of cancer was 45 years, and the second case of cancer was 49 years. The first and second cases of breast cancer were mostly T2, T1 was only 1 case, T3 was 12 cases, and T4 cases were not. The pathological type was the most with invasive ductal disease, followed by simple cancer. The author believes that the observed survival rate of breast cancer is almost the same as the overall survival rate of breast disease. Once it is found that it is actively handled, the prognosis is still very good as long as it is handled properly.