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1978~1994年间天津肿瘤医院共收治乳腺癌7630例,其中乳腺乳头状癌81例,占同期乳腺癌的1.1%,本病无论临床或病理组织学表现,均具有不同于一般乳腺癌的特点,好发于老年女性,病程长,肿块较大,59例呈囊性,常合并乳头溢液,病理组织学检查,36例为非浸润性癌,20例为早期浸润癌,25例为浸润性癌,腋下淋巴结转移率21.7%。冰冻切片检查尤其囊内型癌易被误诊为良性,应注意鉴别。经手术与化疗综合治疗,5年无瘤生存率89.3%(50/56),10年无瘤生存率为80%(32/40)。
Between 1978 and 1994, Tianjin Cancer Hospital treated 7630 cases of breast cancer, of which 81 cases were papillary carcinoma of the breast and accounted for 1.1% of the breast cancer of the same period. The clinical or histopathological findings of this disease were different from those of normal breast cancer. Characteristics, occur in elderly women, long duration, large mass, 59 cases were cystic, often with nipple discharge, histopathological examination, 36 cases of non-invasive cancer, 20 cases of early invasive carcinoma, 25 cases Invasive carcinoma, axillary lymph node metastasis rate was 21.7%. Frozen section examination, especially the intracapsular carcinoma, can be misdiagnosed as benign, and attention should be paid to identification. After comprehensive treatment with surgery and chemotherapy, the 5-year disease-free survival rate was 89.3% (50/56), and the 10-year disease-free survival rate was 80% (32/40).